title: Coronary slow flow and acute coronary syndrome in a patient with spinal cord injury.
abstract: We report the case of a 55-year-old man who presented with acute coronary syndrome due to coronary slow flow after spinal cord injury. Data regarding the causes and clinical manifestations of coronary slow flow are inconclusive, but the autonomic nervous system is believed to be at least a contributing factor. The predominant vagal activity causes vasodilation and hemostasis, which can lead to acute coronary syndrome. We hereby call attention to hyperactive parasympathetic tonicity, which can lead to coronary slow flow and acute coronary syndrome in acute spinal cord injury patients.
authors.affiliation: Department of Cardiology, Trakya University, 22030 Edirne, Turkey. meryemaktoz1@yahoo.com
authors.forename: Meryem
authors.initials: M
authors.lastname: Aktoz
authors.forename: Ersan
authors.initials: E
authors.lastname: Tatli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Barutcu
authors.forename: Flora
authors.initials: F
authors.lastname: Ozkalayci
authors.forename: Elif
authors.initials: E
authors.lastname: Umit
authors.forename: Armagan
authors.initials: A
authors.lastname: Altun
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D002317:Cardiovascular Agents / Q000627:therapeutic use; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000187:drug effects; D004562:Electrocardiography; D006487:Hemostasis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D054318:No-Reflow Phenomenon / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D026741:Physical Therapy Modalities; D013119:Spinal Cord Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D014630:Vagus Nerve / Q000503:physiopathology; D014664:Vasodilation
chemical_list: D002317:Cardiovascular Agents