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

Year 2018, , 103 - 105, 31.01.2018

Yahya Kemal İcen , Mevlut Koc

https://doi.org/10.17546/msd.375677

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

Keywords

: Complete heart block generalized vasospasm coronary

References

  • 1. 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.
  • 2. 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.
  • 3. 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
  • 4. 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.
  • 5. 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
  • 6. 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
  • 7. 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.
  • 8. 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

Year 2018, , 103 - 105, 31.01.2018

Yahya Kemal İcen , Mevlut Koc

https://doi.org/10.17546/msd.375677

Abstract

References

  • 1. 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.
  • 2. 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.
  • 3. 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
  • 4. 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.
  • 5. 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
  • 6. 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
  • 7. 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.
  • 8. 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
There are 8 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

Yahya Kemal İcen

Mevlut Koc This is me

Publication Date January 31, 2018
Published in Issue Year 2018

Cite

APA İcen, 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. https://doi.org/10.17546/msd.375677
AMA İcen YK, Koc M. Complete heart block and acute inferior myocardial infarction due to generalized vasospasm. Med Sci Discov. January 2018;5(1):103-105. doi:10.17546/msd.375677
Chicago İcen, Yahya Kemal, and Mevlut Koc. “Complete Heart Block and Acute Inferior Myocardial Infarction Due to Generalized Vasospasm”. Medical Science and Discovery 5, no. 1 (January 2018): 103-5. https://doi.org/10.17546/msd.375677.
EndNote İcen YK, Koc M (January 1, 2018) Complete heart block and acute inferior myocardial infarction due to generalized vasospasm. Medical Science and Discovery 5 1 103–105.
IEEE Y. K. İcen and M. Koc, “Complete heart block and acute inferior myocardial infarction due to generalized vasospasm”, Med Sci Discov, vol. 5, no. 1, pp. 103–105, 2018, doi: 10.17546/msd.375677.
ISNAD İcen, Yahya Kemal - Koc, Mevlut. “Complete Heart Block and Acute Inferior Myocardial Infarction Due to Generalized Vasospasm”. Medical Science and Discovery 5/1 (January 2018), 103-105. https://doi.org/10.17546/msd.375677.
JAMA İcen YK, Koc M. Complete heart block and acute inferior myocardial infarction due to generalized vasospasm. Med Sci Discov. 2018;5:103–105.
MLA İcen, Yahya Kemal and Mevlut Koc. “Complete Heart Block and Acute Inferior Myocardial Infarction Due to Generalized Vasospasm”. Medical Science and Discovery, vol. 5, no. 1, 2018, pp. 103-5, doi:10.17546/msd.375677.
Vancouver İcen YK, Koc M. Complete heart block and acute inferior myocardial infarction due to generalized vasospasm. Med Sci Discov. 2018;5(1):103-5.