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Pericarditis as a trigger for Prinzmetal angina – a case report
Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Carol Davila University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811664/ https://www.ncbi.nlm.nih.gov/pubmed/35126758 http://dx.doi.org/10.25122/jml-2021-0061 |
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author | Sheibani, Hossein Javedani Masroor, Mojgan |
author_facet | Sheibani, Hossein Javedani Masroor, Mojgan |
author_sort | Sheibani, Hossein |
collection | PubMed |
description | Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition. |
format | Online Article Text |
id | pubmed-8811664 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Carol Davila University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88116642022-02-03 Pericarditis as a trigger for Prinzmetal angina – a case report Sheibani, Hossein Javedani Masroor, Mojgan J Med Life Case Report Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition. Carol Davila University Press 2021 /pmc/articles/PMC8811664/ /pubmed/35126758 http://dx.doi.org/10.25122/jml-2021-0061 Text en ©2021 JOURNAL of MEDICINE and LIFE https://creativecommons.org/licenses/by/3.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Case Report Sheibani, Hossein Javedani Masroor, Mojgan Pericarditis as a trigger for Prinzmetal angina – a case report |
title | Pericarditis as a trigger for Prinzmetal angina – a case report |
title_full | Pericarditis as a trigger for Prinzmetal angina – a case report |
title_fullStr | Pericarditis as a trigger for Prinzmetal angina – a case report |
title_full_unstemmed | Pericarditis as a trigger for Prinzmetal angina – a case report |
title_short | Pericarditis as a trigger for Prinzmetal angina – a case report |
title_sort | pericarditis as a trigger for prinzmetal angina – a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811664/ https://www.ncbi.nlm.nih.gov/pubmed/35126758 http://dx.doi.org/10.25122/jml-2021-0061 |
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