White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?

Coronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging...

Descripción completa

Detalles Bibliográficos
Autores principales: Angelini, Paolo, Gamero, Maria T., Uribe, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Interventional Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311197/
https://www.ncbi.nlm.nih.gov/pubmed/34317629
http://dx.doi.org/10.1016/j.jaccas.2021.03.005
_version_ 1783728916108673024
author Angelini, Paolo
Gamero, Maria T.
Uribe, Carlo
author_facet Angelini, Paolo
Gamero, Maria T.
Uribe, Carlo
author_sort Angelini, Paolo
collection PubMed
description Coronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging showed fresh white platelet clots. Antiplatelet prasugrel has substantially suppressed her symptoms. (Level of Difficulty: Advanced.)
format Online
Article
Text
id pubmed-8311197
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-83111972021-07-26 White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA? Angelini, Paolo Gamero, Maria T. Uribe, Carlo JACC Case Rep Mini-Focus Issue: Interventional Cardiology Coronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging showed fresh white platelet clots. Antiplatelet prasugrel has substantially suppressed her symptoms. (Level of Difficulty: Advanced.) Elsevier 2021-05-19 /pmc/articles/PMC8311197/ /pubmed/34317629 http://dx.doi.org/10.1016/j.jaccas.2021.03.005 Text en © 2021 The Authors https://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 Mini-Focus Issue: Interventional Cardiology
Angelini, Paolo
Gamero, Maria T.
Uribe, Carlo
White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title_full White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title_fullStr White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title_full_unstemmed White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title_short White Clot Formation at Acetylcholine Testing: A Change of Heart in MINOCA?
title_sort white clot formation at acetylcholine testing: a change of heart in minoca?
topic Mini-Focus Issue: Interventional Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311197/
https://www.ncbi.nlm.nih.gov/pubmed/34317629
http://dx.doi.org/10.1016/j.jaccas.2021.03.005
work_keys_str_mv AT angelinipaolo whiteclotformationatacetylcholinetestingachangeofheartinminoca
AT gameromariat whiteclotformationatacetylcholinetestingachangeofheartinminoca
AT uribecarlo whiteclotformationatacetylcholinetestingachangeofheartinminoca

Ejemplares similares