Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis

INTRODUCTION: Patients suffering from Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) are found with no obstructive coronary artery disease on coronary arteriography. The Aim of this interesting case report is to present a patient with acute chest pain, temporal ST-segment elev...

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Detalles Bibliográficos
Autores principales: Ioannis, Vogiatzis, Konstantinos, Koutsambasopoulos, Antonios, Samaras, Ioannis, Bostanitis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical Sciences of Bosnia and Herzegovina 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911169/
https://www.ncbi.nlm.nih.gov/pubmed/29736108
http://dx.doi.org/10.5455/medarh.2018.72.154-156
Descripción
Sumario:INTRODUCTION: Patients suffering from Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) are found with no obstructive coronary artery disease on coronary arteriography. The Aim of this interesting case report is to present a patient with acute chest pain, temporal ST-segment elevation and MINOCA. CASE REPORT: A case of a young woman who presented with acute chest pain suggestive of angina, with temporal ST-segment elevation, accidentally recorded and not rising of myocardial necrosis biomarkers in blood tests is described. A coronary angiography via right radial artery was performed and revealed normal coronary arteries. She was defined suffering from Myocardial infarction with Non-Obstructive Coronary Arteries (MINOCA) which occurs in 1–14% of Myocardial Infarction cases. Treatment with nitrates calcium, calcium channel blockers and antiplatelet in the basis of ACS is highly indicated. CONCLUSION: Coronary artery spasm is not a rare cause of ACS. Coronary angiography is indicated in all cases to exclude severe coronary heart disease

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