Coronary artery spasm as a cause of chest pain and re-elevation of ST segment and cardiogenic shock after PTCA.
We describe a case that underwent successful percutaneous transluminal coronary angioplasty in cardiogenic shock but after half an hour, again had severe chest pain with re-elevation of ST segment and was found to have coronary artery spasm as a cause of recurrence of symptoms.
Bhardwaj
Rajeev
R
Department of Cardiology, Indira Gandhi Medical College, Shimla-171001. rajeevbhardwaj_dr@yahoo.com
Marwah
Rajeev
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D003329:Coronary Vasospasm / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D005996:Nitroglycerin / Q000627:therapeutic use; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology*; D015607:Stents / Q000009:adverse effects; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D005996:Nitroglycerin