title: Multivessel coronary artery spasm refractory to intensive medical treatment.
abstract: This case report describes multivessel coronary artery spasm refractory to oral nifedipine, intravenous isosorbide dinitrate, diltiazem and nicorandil, and intracoronary nitroglycerin. Intracoronary administration of nicorandil only transiently relieved coronary artery spasm. Prednisolone was effective in preventing coronary artery spasm.
authors: Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
authors: Tatsuhiko
authors: T
authors: Asano
authors: Yoshio
authors: Y
authors: Kobayashi
authors: Masaki
authors: M
authors: Ohno
authors: Takashi
authors: T
authors: Nakayama
authors: Nakabumi
authors: N
authors: Kuroda
authors: Issei
authors: I
authors: Komuro
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000787:Angina Pectoris / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D003329:Coronary Vasospasm / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D004110:Diltiazem / Q000627:therapeutic use; D004562:Electrocardiography; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007262:Infusions, Intravenous; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D020108:Nicorandil / Q000627:therapeutic use; D009543:Nifedipine / Q000627:therapeutic use; D005996:Nitroglycerin / Q000627:therapeutic use; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use*; D017211:Treatment Failure; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D005938:Glucocorticoids; D014665:Vasodilator Agents; D020108:Nicorandil; D011239:Prednisolone; D004110:Diltiazem; D005996:Nitroglycerin; D009543:Nifedipine; D007548:Isosorbide Dinitrate