Simultaneous multivessel coronary spasm causing acute myocardial infarction: a case report.
Spontaneous simultaneous multivessel coronary artery spasm in patients with acute myocardial infarction (AMI) is uncommon. A 79-year-old Japanese man was transferred to this hospital because of severe prolonged chest pain and faintness. Left coronary angiography revealed total occlusion of the left anterior descending and the left circumflex coronary arteries. Moreover, right coronary angiography revealed 99% stenosis of the right coronary artery. After intracoronary administration of nicorandil, left coronary artery and right coronary artery angiography revealed no organic stenosis or thrombus. This is the first report in which simultaneous 3-vessel spasm was documented by emergency angiography in AMI.
Saito
Hidenori
H
Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan.
Itoh
Tomonori
T
Itoh
Masahiro
M
Kanaya
Yoshinori
Y
Suzuki
Tomomi
T
Hiramori
Katsuhiko
K
D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000188:drug therapy; D003329:Coronary Vasospasm / Q000175:diagnosis* / Q000188:drug therapy; D006327:Heart Block / Q000175:diagnosis; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D020108:Nicorandil / Q000627:therapeutic use; D009543:Nifedipine / Q000627:therapeutic use; D005996:Nitroglycerin / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D020108:Nicorandil; D005996:Nitroglycerin; D009543:Nifedipine