The role of computed tomography coronary angiography in multi-vessel coronary vasospasm: a case report

The role of computed tomography coronary angiography in multi-vessel coronary vasospasm: a case report

Abstract Background Coronary vasospasm can present like an acute coronary syndrome (ACS) with an intense vasoconstriction resulting in total or near-total occlusion of one or more of the coronary vessels. Definitive diagnosis can be made by intracoronary provocation testing. Case summary A 37-year-o...

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Bibliographic Details
Published in:European heart journal : case reports 2021-02, Vol.5 (2), p.ytab015
Main Authors: Tomlinson, James S, Patel, Amit, Levy, Terry
Format: Article
Language:eng
Subjects:
Acetylcholine
Angiography
Case Report
Coronary heart disease
CT imaging
Diagnosis
Electrocardiogram
Electrocardiography
Nitrates
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Summary:Abstract Background Coronary vasospasm can present like an acute coronary syndrome (ACS) with an intense vasoconstriction resulting in total or near-total occlusion of one or more of the coronary vessels. Definitive diagnosis can be made by intracoronary provocation testing. Case summary A 37-year-old Caucasian male and smoker was admitted with chest pain. Highly sensitive troponin-I was positive at 63 ng/L (99th percentile upper reference limit,
ISSN:2514-2119
2514-2119