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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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
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author Ioannis, Vogiatzis
Konstantinos, Koutsambasopoulos
Antonios, Samaras
Ioannis, Bostanitis
author_facet Ioannis, Vogiatzis
Konstantinos, Koutsambasopoulos
Antonios, Samaras
Ioannis, Bostanitis
author_sort Ioannis, Vogiatzis
collection PubMed
description 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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spelling pubmed-59111692018-05-07 Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis Ioannis, Vogiatzis Konstantinos, Koutsambasopoulos Antonios, Samaras Ioannis, Bostanitis Med Arch Case Report 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 Academy of Medical Sciences of Bosnia and Herzegovina 2018-04 /pmc/articles/PMC5911169/ /pubmed/29736108 http://dx.doi.org/10.5455/medarh.2018.72.154-156 Text en © 2018 Vogiatzis Ioannis, Koutsambasopoulos Konstantinos, Samaras Antonios, Bostanitis Ioannis http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ioannis, Vogiatzis
Konstantinos, Koutsambasopoulos
Antonios, Samaras
Ioannis, Bostanitis
Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title_full Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title_fullStr Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title_full_unstemmed Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title_short Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis
title_sort acute coronary syndrome with normal coronary arteries: a case of spontaneous spasm lysis
topic Case Report
url 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
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