Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation

Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography r...

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Detalles Bibliográficos
Autores principales: Ahmed, Jamal J., Walborn, Deanna L., Anghel, Traian M., Chohan, Moeed R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125512/
https://www.ncbi.nlm.nih.gov/pubmed/35615221
http://dx.doi.org/10.1016/j.jaccas.2022.03.005
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author Ahmed, Jamal J.
Walborn, Deanna L.
Anghel, Traian M.
Chohan, Moeed R.
author_facet Ahmed, Jamal J.
Walborn, Deanna L.
Anghel, Traian M.
Chohan, Moeed R.
author_sort Ahmed, Jamal J.
collection PubMed
description Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography revealed diffuse coronary spasm that was successfully treated with intracoronary nitroglycerin. (Level of Difficulty: Intermediate.)
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spelling pubmed-91255122022-05-24 Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation Ahmed, Jamal J. Walborn, Deanna L. Anghel, Traian M. Chohan, Moeed R. JACC Case Rep Case Report Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography revealed diffuse coronary spasm that was successfully treated with intracoronary nitroglycerin. (Level of Difficulty: Intermediate.) Elsevier 2022-05-18 /pmc/articles/PMC9125512/ /pubmed/35615221 http://dx.doi.org/10.1016/j.jaccas.2022.03.005 Text en © 2022 The Authors 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
Ahmed, Jamal J.
Walborn, Deanna L.
Anghel, Traian M.
Chohan, Moeed R.
Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title_full Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title_fullStr Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title_full_unstemmed Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title_short Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation
title_sort acute stemi due to severe triple-vessel spasm after iv adenosine injection during cryo-balloon isolation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125512/
https://www.ncbi.nlm.nih.gov/pubmed/35615221
http://dx.doi.org/10.1016/j.jaccas.2022.03.005
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