Large myocardial infarction and a severe spasm of the left coronary artery.
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.
Mark
B
B
Herzzentrum Ludwigshafen, Kardiologie Klinikum der Stadt Ludwigshafen, Bremserstrasse 79, 67073 Ludwigshafen, Germany. MarkB@klilu.de
Scheidt
T
T
Zeymer
U
U
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
D003287:Contrast Media; D014665:Vasodilator Agents; D005682:Gadolinium; D014700:Verapamil; D005996:Nitroglycerin