Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco

Coronary artery vasospasm is typically managed through avoidance of triggers and with symptomatic treatments with calcium channel blockers and long-acting nitrates. Here, we report a rare case of medically refractory coronary artery vasospasm associated with genetic predispositions that initially re...

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Detalles Bibliográficos
Autores principales: Tran, Matthew V., Marceau, Eric, Liu, Yu, Sallam, Karim, Medina, Pedro, Liu, Chun, Sayed, Nazish, Muller, Matthew D., Liang, David H., Chen, Ian Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353556/
https://www.ncbi.nlm.nih.gov/pubmed/34401754
http://dx.doi.org/10.1016/j.jaccas.2021.03.018
Descripción
Sumario:Coronary artery vasospasm is typically managed through avoidance of triggers and with symptomatic treatments with calcium channel blockers and long-acting nitrates. Here, we report a rare case of medically refractory coronary artery vasospasm associated with genetic predispositions that initially required cardiac autotransplantation followed paradoxically by nicotine for long-term symptomatic control. (Level of Difficulty: Intermediate.)

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