Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
A Rare Case of Cardiogenic Shock Following Severe Multivessel Coronary Vasospasm Publisher



Rahmani R1 ; Parsa AZ1 ; Sherafati A1 ; Kosari R1 ; Mohhamadi V1 ; Mohhamadi R1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Tehran University Heart Center Published:2019


Abstract

Prinzmetal’s angina occurs following spasms in a single or multiple vascular beds, resulting in a typical chest pain and an ST-segment elevation in electrocardiography (ECG). It can lead to life-threatening arrhythmias and sudden cardiac death. We describe a 37-year-old woman who was admitted with a typical chest pain and hypotension. Her initial ECG showed an ST-segment elevation in the inferior and precordial leads. She was transferred to the catheterization unit, where coronary angiography illustrated multivessel spasms. The spasms were relieved with a nitroglycerin injection. She was discharged with stable hemodynamics 7 days later, and at 1 month’s follow-up, no recurrent attack was detected. © 2019, Tehran Heart Center. All Rights Reserved.