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Type: Journal article
Title: Multivessel coronary artery spasm
Author: Richardson, J.
Nelson, A.
Worthley, S.
Teo, K.
Baillie, T.
Worthley, M.
Citation: Heart Lung and Circulation, 2012; 21(2):113-116
Publisher: Blackwell Publishing Asia
Issue Date: 2012
ISSN: 1443-9506
Statement of
J.D. Richardson, A.J. Nelson, S.G. Worthley, K.S.L. Teo, T. Baillie, and M.I. Worthley
Abstract: Coronary spasm is increasingly recognised as an important aetiological mechanism causing myocardial ischaemia. Occasionally cases present with evidence of ST segment elevation myocardial infarction, usually secondary to spasm confined to a solitary coronary artery. We present the rare and life-threatening case of severe coronary spasm afflicting all three major epicardial arteries simultaneously. It describes the difficult emergency scenario and ongoing management dilemmas encountered by physicians confronted with multivessel coronary spasm. Moreover we discuss the malignant prognosis associated with this ailment and describe the potential insights provided by cardiac magnetic resonance imaging that might identify those at greatest risk after the index event.
Keywords: Multivessel
Coronary spasm
Magnetic resonance imaging
Rights: Copyright © 2011 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
DOI: 10.1016/j.hlc.2011.07.007
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