Multivessel Coronary Artery Spasm - 02/02/12
Corresponding author at: Cardiovascular Investigation Unit, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000, Australia. Tel.: +61 8 8222 5608; fax: +61 8 8222 2454.Résumé |
Coronary spasm is increasingly recognised as an important aetiological mechanism causing myocardial ischaemia. Occasionally cases present with evidence of ST segment elevation myocardial infarction, usually secondary to spasm confined to a solitary coronary artery. We present the rare and life-threatening case of severe coronary spasm afflicting all three major epicardial arteries simultaneously. It describes the difficult emergency scenario and ongoing management dilemmas encountered by physicians confronted with multivessel coronary spasm. Moreover we discuss the malignant prognosis associated with this ailment and describe the potential insights provided by cardiac magnetic resonance imaging that might identify those at greatest risk after the index event.
Le texte complet de cet article est disponible en PDF.Keywords : Multivessel, Coronary spasm, Magnetic resonance imaging
Plan
Vol 21 - N° 2
P. 113-116 - février 2012 Retour au numéro
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