title: [Myocardial ischemia with normal coronary vessels. Indication of a vasospastic etiology].
abstract: 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.
authors: Kardiologische Universitätsklinik Wien.
authors: T
authors: T
authors: Stefenelli
authors: H D
authors: HD
authors: Glogar
authors: H
authors: H
authors: Sochor
authors: J
authors: J
authors: Czernin
authors: P
authors: P
authors: Probst
mesh_terms: 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
chemical_list: D013794:Thallium Radioisotopes
vernacular_title: Myokardischämie bei unauffälligen Herzkranzgefässen. Hinweise auf eine vasospastische Genese.