title: Large myocardial infarction and a severe spasm of the left coronary artery.
abstract: In patients presenting with an acute myocardial infarction, normal coronary arteries in the first coronary angiography lead to diagnostic uncertainty. We report the case of a 41-year-old woman with an acute anterior infarction and a severe spasm of the left coronary artery, which was treated with intracoronary nitroglycerine and verapamil. The new technique of contrast-enhanced cardiac magnetic resonance imaging was used to confirm the diagnosis.
authors.affiliation: Herzzentrum Ludwigshafen, Kardiologie Klinikum der Stadt Ludwigshafen, Bremserstrasse 79, 67073 Ludwigshafen, Germany. MarkB@klilu.de
authors.forename: B
authors.initials: B
authors.lastname: Mark
authors.forename: T
authors.initials: T
authors.lastname: Scheidt
authors.forename: U
authors.initials: U
authors.lastname: Zeymer
mesh_terms: D000328:Adult; D003287:Contrast Media / Q000008:administration & dosage; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005682:Gadolinium; D006801:Humans; D007089:Image Enhancement; D007091:Image Processing, Computer-Assisted; D007267:Injections; D008279:Magnetic Resonance Imaging; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D009206:Myocardium; D005996:Nitroglycerin / Q000008:administration & dosage; D010490:Pericardial Effusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014665:Vasodilator Agents / Q000008:administration & dosage; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014700:Verapamil / Q000008:administration & dosage
chemical_list: D003287:Contrast Media; D014665:Vasodilator Agents; D005682:Gadolinium; D014700:Verapamil; D005996:Nitroglycerin