Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report

Coronary artery spasm (CAS) is considered an important mechanism of acute coronary syndrome but not very common in the clinical setting. We report a case of a 42‐year‐old woman with chest pain lasting for 4 h due to diffuse CAS, which led to widespread ST‐segment elevation in multiple leads of the e...

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Detalles Bibliográficos
Autores principales: Bai, Lin, Chen, Fei, Peng, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411782/
https://www.ncbi.nlm.nih.gov/pubmed/34250702
http://dx.doi.org/10.1111/anec.12877
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author Bai, Lin
Chen, Fei
Peng, Yong
author_facet Bai, Lin
Chen, Fei
Peng, Yong
author_sort Bai, Lin
collection PubMed
description Coronary artery spasm (CAS) is considered an important mechanism of acute coronary syndrome but not very common in the clinical setting. We report a case of a 42‐year‐old woman with chest pain lasting for 4 h due to diffuse CAS, which led to widespread ST‐segment elevation in multiple leads of the electrocardiogram and elevated cardiac troponin T. Emergency coronary angiography at admission showed significantly different morphological results from the second angiography during hospitalization, indicating the patient's discomfort was due to CAS rather than stenosis. Our case illustrates that diffuse CAS can cause widespread ST‐segment elevation and severe ACS.
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spelling pubmed-84117822021-09-03 Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report Bai, Lin Chen, Fei Peng, Yong Ann Noninvasive Electrocardiol Case Reports Coronary artery spasm (CAS) is considered an important mechanism of acute coronary syndrome but not very common in the clinical setting. We report a case of a 42‐year‐old woman with chest pain lasting for 4 h due to diffuse CAS, which led to widespread ST‐segment elevation in multiple leads of the electrocardiogram and elevated cardiac troponin T. Emergency coronary angiography at admission showed significantly different morphological results from the second angiography during hospitalization, indicating the patient's discomfort was due to CAS rather than stenosis. Our case illustrates that diffuse CAS can cause widespread ST‐segment elevation and severe ACS. John Wiley and Sons Inc. 2021-07-11 /pmc/articles/PMC8411782/ /pubmed/34250702 http://dx.doi.org/10.1111/anec.12877 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Bai, Lin
Chen, Fei
Peng, Yong
Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title_full Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title_fullStr Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title_full_unstemmed Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title_short Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report
title_sort widespread st‐segment elevation due to diffuse coronary artery spasm: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411782/
https://www.ncbi.nlm.nih.gov/pubmed/34250702
http://dx.doi.org/10.1111/anec.12877
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