title: Simultaneous multivessel coronary spasm causing acute myocardial infarction: a case report.
abstract: 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.
authors.affiliation: Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Saito
authors.forename: Tomonori
authors.initials: T
authors.lastname: Itoh
authors.forename: Masahiro
authors.initials: M
authors.lastname: Itoh
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kanaya
authors.forename: Tomomi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Hiramori
mesh_terms: 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
chemical_list: D014665:Vasodilator Agents; D020108:Nicorandil; D005996:Nitroglycerin; D009543:Nifedipine