Coronary stenting for coronary vasospasm refractory to medical therapy.
We describe the case of a 54-year-old male with recurrent chest pain, ST segment elevation, and bradycardia. Coronary vasospasm was confirmed by acetylcholine challenge. After failing medical therapy, stenting of an extensive segment of the right coronary artery has been clinically successful after 24-months follow-up.
Burns
Andrew
A
Monash Heart, Monash Medical Centre, Melbourne, Australia. andrew.burns@svhm.org.au
Malaiapan
Yuvaraj
Y
Meredith
Ian
I
D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D015220:Calcium Channels / Q000627:therapeutic use; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D003692:Delayed-Action Preparations; D004110:Diltiazem / Q000627:therapeutic use*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D007548:Isosorbide Dinitrate / Q000031:analogs & derivatives* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D015607:Stents; D014665:Vasodilator Agents / Q000627:therapeutic use
D015220:Calcium Channels; D003692:Delayed-Action Preparations; D014665:Vasodilator Agents; D004110:Diltiazem; D007548:Isosorbide Dinitrate; C030397:isosorbide-5-mononitrate