Abstract
Akut koroner sendrom tanısı ile hastaneye başvuran
hastaların bir çoğunda aterosklerotik tıkayıcı koroner arter hastalığı
saptanırken bir kısmında özellikle genç bayan hastalarda koroner damarların
açık olduğu saptanmaktadır. Bu hastaların bir kısmında ise koroner vasospazm
saptanmaktadır. Koroner vasospazm hastaları sadece göğüs ağrısından ciddi akut
koroner sendrom kliniğine kadar ciddi klinik durumlarla başvurabilmektedir. Bu
tür hastalar bazen tıkayıcı aterosklerotik koroner arter hastalığı gibi tedavi
edilmektedir. Hastalığın tanısının doğru konulması ve tedavinin doğru yapılması
için koroner anjioğrafi esnasında saptanan darlıkların intrakoroner nitrat
verilerek kontrol edilmesi uygun olacaktır.
Keywords
References
- 1. Rigatelli G, Rigatelli G, Rossi P, Docali G. Normal angiogram in acute coronary syndromes: the underestimated role of alternative substrates of myocardial ischemia. Int J Cardiovasc Imaging 2004;20:471-5.
- 2. Lip GY, Ray KK, Shiu MF. Coronary spasm in acute myocardial infarction. Heart 1998;80:197-9.
- 3. Armstrong PW. Prinzmetal’s Variant Angina. In: Topol EJ (ed). Stable ischemic syndromes: Textbook of Cardiovascular Medicine. Philadelphia: Lippincott-Raven Press; 1998. 340-1.
- 4. Deligonul U, Armbruster R, Hailu A. Provocation of coronary spasm by dobutamine stres echocardiography in a patient with angiographically minimal coronary artery disease. Clin Cardiol 1996;19:755-8.
- 5. Braunwald E. Heart Disease: A Textbook of Cardiovascular Medicine, 6th ed. Philadelphia: WB Saunders Company; 2001.
- 6. Fuster V, Badimon L, Badimon JJ, Chesebro JH. The pathogenesis of coronary artery disease and the acute coronary syndromes. NEJM 1992; 326:310-8.
Abstract
While most
patients presenting to the hospital with the diagnosis of acute coronary
syndrome have atherosclerotic obstructive coronary artery disease, some of them
are open to coronary vessels especially in young female patients. Coronary
vasospasm is detected in some of these patients. Patients with coronary
vasospasm can only be admitted with severe clinical conditions from chest pain
to severe acute coronary syndrome. Such patients are sometimes treated as
occlusive atherosclerotic coronary artery disease. For correct diagnosis of the
disease and correct treatment, it is appropriate to control the stenosis
detected during coronary angiography by providing intracoronary nitrate.
References
- 1. Rigatelli G, Rigatelli G, Rossi P, Docali G. Normal angiogram in acute coronary syndromes: the underestimated role of alternative substrates of myocardial ischemia. Int J Cardiovasc Imaging 2004;20:471-5.
- 2. Lip GY, Ray KK, Shiu MF. Coronary spasm in acute myocardial infarction. Heart 1998;80:197-9.
- 3. Armstrong PW. Prinzmetal’s Variant Angina. In: Topol EJ (ed). Stable ischemic syndromes: Textbook of Cardiovascular Medicine. Philadelphia: Lippincott-Raven Press; 1998. 340-1.
- 4. Deligonul U, Armbruster R, Hailu A. Provocation of coronary spasm by dobutamine stres echocardiography in a patient with angiographically minimal coronary artery disease. Clin Cardiol 1996;19:755-8.
- 5. Braunwald E. Heart Disease: A Textbook of Cardiovascular Medicine, 6th ed. Philadelphia: WB Saunders Company; 2001.
- 6. Fuster V, Badimon L, Badimon JJ, Chesebro JH. The pathogenesis of coronary artery disease and the acute coronary syndromes. NEJM 1992; 326:310-8.
Details
| Primary Language | Turkish |
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| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 15, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 1 |
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Assoc. Prof. Alpaslan TANOĞLU (MD)
Prof. Aydın ÇİFCİ (MD)
Prof. İbrahim Celalaettin HAZNEDAROĞLU (MD)
Prof. Murat KEKİLLİ (MD)
Prof. Yavuz BEYAZIT (MD)
Prof. Ekrem ÜNAL (MD)
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Assoc. Prof. Mehmet Sinan DAL (MD)
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