Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test

This case highlights the diagnostic challenge associated with coronary vasospasm, especially when accompanied by no provoked spasms on the ergometrine test in the acute setting of myocardial infarction with nonobstructive coronary arteries. Inexplicable myocardial infarction with nonobstructive coro...

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Detalles Bibliográficos
Autores principales: Mizutani, Hana, Nakamori, Shiro, Kurita, Tairo, Dohi, Kaoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897020/
https://www.ncbi.nlm.nih.gov/pubmed/35257105
http://dx.doi.org/10.1016/j.jaccas.2021.10.011
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author Mizutani, Hana
Nakamori, Shiro
Kurita, Tairo
Dohi, Kaoru
author_facet Mizutani, Hana
Nakamori, Shiro
Kurita, Tairo
Dohi, Kaoru
author_sort Mizutani, Hana
collection PubMed
description This case highlights the diagnostic challenge associated with coronary vasospasm, especially when accompanied by no provoked spasms on the ergometrine test in the acute setting of myocardial infarction with nonobstructive coronary arteries. Inexplicable myocardial infarction with nonobstructive coronary arteries after extensive evaluation should alert the clinician to the possibility of coronary vasospasm and the necessity of acetylcholine provocative testing in spite of a negative ergometrine provocation test. (Level of Difficulty: Intermediate.)
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spelling pubmed-88970202022-03-06 Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test Mizutani, Hana Nakamori, Shiro Kurita, Tairo Dohi, Kaoru JACC Case Rep Case Report This case highlights the diagnostic challenge associated with coronary vasospasm, especially when accompanied by no provoked spasms on the ergometrine test in the acute setting of myocardial infarction with nonobstructive coronary arteries. Inexplicable myocardial infarction with nonobstructive coronary arteries after extensive evaluation should alert the clinician to the possibility of coronary vasospasm and the necessity of acetylcholine provocative testing in spite of a negative ergometrine provocation test. (Level of Difficulty: Intermediate.) Elsevier 2022-03-02 /pmc/articles/PMC8897020/ /pubmed/35257105 http://dx.doi.org/10.1016/j.jaccas.2021.10.011 Text en © 2022 by the American College of Cardiology Foundation. Published by Elsevier. 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 Case Report
Mizutani, Hana
Nakamori, Shiro
Kurita, Tairo
Dohi, Kaoru
Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title_full Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title_fullStr Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title_full_unstemmed Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title_short Recurrent Myocardial Infarction in a Patient With MINOCA and a Negative Ergometrine Provocation Test
title_sort recurrent myocardial infarction in a patient with minoca and a negative ergometrine provocation test
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897020/
https://www.ncbi.nlm.nih.gov/pubmed/35257105
http://dx.doi.org/10.1016/j.jaccas.2021.10.011
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