[Myocardial ischemia with normal coronary vessels. Indication of a vasospastic etiology].
In a 43-year-old woman with ECG changes of an acute anterior and posterior wall infarct, associated symptoms and biochemical findings, coronary angiography demonstrated normal coronary arteries and a normal variant in the course of the left coronary artery. Vasospasms in another vascular bed (migraine) and highly positive 201-Thallium scintigraphy during acral cold provocation speak for coronary spasm as cause of the myocardial ischaemia in this patient.
Stefenelli
T
T
Kardiologische Universitätsklinik Wien.
Glogar
H D
HD
Sochor
H
H
Czernin
J
J
Probst
P
P
D000328:Adult; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000150:complications*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D013794:Thallium Radioisotopes
D013794:Thallium Radioisotopes
Myokardischämie bei unauffälligen Herzkranzgefässen. Hinweise auf eine vasospastische Genese.