Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm

Vascular inflammation is linked with the pathogenesis of vasospastic angina (VSA). Recent studies reported the potential of pericoronary adipose tissue attenuation as shown on coronary computed tomography angiography to detect coronary inflammation. This report presents a case of myocardial infarcti...

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Autores principales: Horie, Tomoki, Sugiyama, Tomoyo, Kanaji, Yoshihisa, Hoshino, Masahiro, Kakuta, Tsunekazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893198/
https://www.ncbi.nlm.nih.gov/pubmed/33644735
http://dx.doi.org/10.1016/j.cjco.2020.10.001
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author Horie, Tomoki
Sugiyama, Tomoyo
Kanaji, Yoshihisa
Hoshino, Masahiro
Kakuta, Tsunekazu
author_facet Horie, Tomoki
Sugiyama, Tomoyo
Kanaji, Yoshihisa
Hoshino, Masahiro
Kakuta, Tsunekazu
author_sort Horie, Tomoki
collection PubMed
description Vascular inflammation is linked with the pathogenesis of vasospastic angina (VSA). Recent studies reported the potential of pericoronary adipose tissue attenuation as shown on coronary computed tomography angiography to detect coronary inflammation. This report presents a case of myocardial infarction with nonobstructive coronary arteries potentially complicated with VSA that demonstrated reduction of inflammation after symptom improvement with calcium channel–blocker treatment as assessed by serial examination of pericoronary adipose tissue attenuation. This case highlighted the feasibility of a noninvasive assessment of pericoronary adipose tissue attenuation to evaluate the disease activity of VSA and guide patient management.
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spelling pubmed-78931982021-02-25 Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm Horie, Tomoki Sugiyama, Tomoyo Kanaji, Yoshihisa Hoshino, Masahiro Kakuta, Tsunekazu CJC Open Case Report Vascular inflammation is linked with the pathogenesis of vasospastic angina (VSA). Recent studies reported the potential of pericoronary adipose tissue attenuation as shown on coronary computed tomography angiography to detect coronary inflammation. This report presents a case of myocardial infarction with nonobstructive coronary arteries potentially complicated with VSA that demonstrated reduction of inflammation after symptom improvement with calcium channel–blocker treatment as assessed by serial examination of pericoronary adipose tissue attenuation. This case highlighted the feasibility of a noninvasive assessment of pericoronary adipose tissue attenuation to evaluate the disease activity of VSA and guide patient management. Elsevier 2020-10-03 /pmc/articles/PMC7893198/ /pubmed/33644735 http://dx.doi.org/10.1016/j.cjco.2020.10.001 Text en © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Horie, Tomoki
Sugiyama, Tomoyo
Kanaji, Yoshihisa
Hoshino, Masahiro
Kakuta, Tsunekazu
Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title_full Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title_fullStr Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title_full_unstemmed Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title_short Serial Assessment of Pericoronary Adipose Tissue Inflammation in a Patient With MINOCA Potentially Complicated With Vasospasm
title_sort serial assessment of pericoronary adipose tissue inflammation in a patient with minoca potentially complicated with vasospasm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893198/
https://www.ncbi.nlm.nih.gov/pubmed/33644735
http://dx.doi.org/10.1016/j.cjco.2020.10.001
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