title: Global coronary arteries spasm in a young patient.
abstract: BACKGROUND
  Coronary artery spasm is a transient narrowing of coronary arteries that slows or stops blood flow through the artery.
  
  
  METHODS
  We present a 42-year-smoker man without any medical problem who developed syncope. Coronary angiography revealed diffuse significant narrowing of proximal left anterior descending artery (LAD), 90% osteal stenosis of large obtuse marginal (OM), 90% diffuse narrowing of proximal right coronary artery (RCA), which was relieved by intracoronary administration of nitrate. He was discharged on calcium channel blockers and nitrates but one month later developed syncope again and died.
  
  
  CONCLUSIONS
  Multivessel coronary artery spasm should be considered in young smoker patients without any other coronary risk factors who present with syncope.
authors: Associate Professor, Mashhad Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Homa
authors: H
authors: Falsoleiman
authors: Baktash
authors: B
authors: Bayani
authors: Mashalla
authors: M
authors: Dehghani
authors: Mohsen
authors: M
authors: Moohebati
authors: Atoosheh
authors: A
authors: Rohani
keywords: Implantable Cardiac Defibrillators; Syncope; Variant Angina
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