A Rare Case of Cardiogenic Shock Following Severe Multivessel Coronary Vasospasm Publisher



Rahmani R¹ ; Parsa AZ¹ ; Sherafati A¹ ; Kosari R¹ ; Mohhamadi V¹ ; Mohhamadi R¹
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.