title: Severe diffuse coronary artery spasm in the early phase of cardiogenic shock.
abstract: Coronary artery vasospasm rarely appears as a diffuse phenomenon that involves all the coronary tree. We present a clinical case of acute myocardial infarction complicated by ventricular fibrillation and cardiogenic shock. Urgent coronary angiography showed occlusion of proximal Circumflex coronary artery and a TIMI I flow in the left anterior descending artery due to severe, diffuse coronary vasospasm. Patient was successfully treated with intra-aortic balloon pump and intracoronary bolus of nitroglycerin with restoration of flow in left coronary branches and complete resolution of shock.
authors.forename: Alessio
authors.initials: A
authors.lastname: Lilli
authors.forename: Sabine
authors.initials: S
authors.lastname: Vecchio
authors.forename: Guido
authors.initials: G
authors.lastname: Vittori
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Consoli
authors.forename: Tania
authors.initials: T
authors.lastname: Chechi
authors.forename: Massimo
authors.initials: M
authors.lastname: Margheri
mesh_terms: D003329:Coronary Vasospasm / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D004554:Electric Countershock / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy