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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...

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Autores principales: Sheibani, Hossein, Javedani Masroor, Mojgan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Carol Davila University Press 2021
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.
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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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