Refractory case of coronary artery spasm with interesting findings: A case report

Nedaa Skeik; Sherif Yacoub-Wasef; Aleksy Kamenetsky; Shobhana Chaudhari

doi:10.1007/s00547-006-2054-1

International Journal of Angiology, Table of Contents

Int J Angiol 2006; 15(1): 51-55
DOI: 10.1007/s00547-006-2054-1

Refractory case of coronary artery spasm with interesting findings: A case report

Nedaa Skeik¹ , Sherif Yacoub-Wasef² , Aleksy Kamenetsky³ , Shobhana Chaudhari⁴

¹New York Medical College, St. Mary's Regional Medical Center, Lewiston, ME, USA
²Department of Medicine and Endocrinology, Medical University of South Carolina, Columbia, SC, USA
³Department of Medicine, Mount Sinai School of Medicine, Elmhurst Hospital Center, Elmhurst, NY, USA
⁴Department of Medicine, New York Medical College, Metropolitan Hospital Center, New York, NY, USA

No financial support was needed or provided by any source.

Abstract

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Abstract

This is a case of refractory vasospastic angina with unusual electrocardiographic findings and rare coronary angiographic documentation of diffuse spasm of the left coronary system with a baseline of near normal coronary arteries. A 66-year-old man presented with severe vasospastic angina that eventually progressed to non-ST elevation myocardial infarction (NSTEMI). During the episodes of chest pain, the electrocardiogram revealed ST segment depression rather than elevation. Coronary angiography revealed near normal coronary arteries with initial diffuse spasm of the left coronary system. The patient continues to be symptomatic despite treatment with different forms and doses of nitrates and calcium channel blockers.

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