[The multiple coronary spasm as the cause of acute ischemic events. A case report of a simultaneous spasm of the anterior descending and the circumflex during coronary angiography].
A case of simultaneous coronary artery spasm during coronary arteriography is reported. The patient, a 48-year-old male smoker, with an important family history of sudden death, underwent coronary angiography 5 months after anterior myocardial infarction. There were no lesions in the coronary arteries at the angiographic study. At the end of the procedure there was a sudden contemporary spasm of the anterior descending and circumflex coronary arteries. This severe condition was resolved with intra-arterial nitroglycerin. The relevance of multicoronary spasm as a cause of acute ischemic events and the possible influence of family history are discussed.
Canterin
F A
FA
Divisione di Cardiologia, A.R.C., Ospedale Civile di Pordenone.
Cassin
M
M
Zanuttini
D
D
D000208:Acute Disease; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000235:genetics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000235:genetics; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000235:genetics; D005996:Nitroglycerin / Q000627:therapeutic use; D011379:Prognosis
D005996:Nitroglycerin
Spasmo coronarico multiplo come causa di eventi ischemici acuti. Descrizione di un caso di spasmo contemporaneo della discendente anteriore e della circonflessa in corso di coronarografia.