Complete heart block and acute inferior myocardial infarction due to generalized vasospasm

Main Article Content

Yahya Kemal Icen
Mevlut Koc

Abstract

Sixtyone years old female patient had applied to emergency department with chest pain. Her ECG taken was compliant with acute inferior myocardial infarction and complete heart block. In her coronary angiography (CAG), there was generalized vasospasm from osteal in left anterior descending coronary artery (LAD) and circumflex artery (CX). 10 mcg/kg/mn nitrate was infused in the coronary and vasospasm is disappeared. After CAG, her ECG was normal and she discharged with medical treatment recommendations

Downloads

Download data is not yet available.

Article Details

How to Cite
Icen, Y. K. ., & Koc, M. . (2018). Complete heart block and acute inferior myocardial infarction due to generalized vasospasm. Medical Science and Discovery, 5(1), 103–105. Retrieved from https://medscidiscovery.com/index.php/msd/article/view/210
Section
Case Reports

References

Hirofumi Yasue, Hitoshi Nakagawa, Teruhiko Itoh, Eisaku Harada, Yuji Mizuno. Coronary artery spasm—–Clinical features, diagnosis, pathogenesis, and treatment. Journal of Cardiology 2008;51: 2–17.

JCS Joint Working Group. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014;78:2779-801.

Kusama Y, Kodani E, Nakagomi A, et al. Variant angina and coronary artery spasm: a the clinical spectrum, pathophysiology, and management. J Nippon Med Sch 2011;78:4–12

Ledakowicz-Polak A, Ptaszynski P, Polak L, et al. Prinzmetal’s variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma. Cardiol J. 2009;16:269-72.

Filipa Ferreira, Lorette Cardona, Bruno Valente, João Abreu, Eduardo Antunes, Lurdes Ferreira, José Alberto Oliveira, Rui Ferreira. High-degree atrioventricular block induced by Prinzmetal angına. Rev Port Cardiol. 2012;31:233-235

Viji S. Thomson, Osama Tariq, and Hafidh Al Hadhi. Malignant Multivessel Coronary Spasm Complicated by Myocardial Infarction, Transient Complete Heart Block, Ventricular Fibrillation, Cardiogenic Shock and Ischemic Stroke. Oman Medical Journal 2014; 4:296-298

Seniuk W, Mularek-Kubzdela T, Grygier M, Grajek S, Cieśliński A. Cardiac arrest related to coronary spasm in patients with variant angina: a three-case study. J Intern Med. 2002;252:368-76.

Siliste RN, Savulescu-Fiedler I, Siliste C. Bradyarrhythmic syncope in a patient with Prinzmetal's variant angina: a case report. American Journal of Emergency Medicine 2013; 996.e1–996.e4