A Case of Coronary Vasospasm during Neck Surgery.
10.4070/kcj.2002.32.9.820
- Author:
Han Mo YANG
1
;
Kyung Woo PARK
;
Hyun Jai CHO
;
Hyung Kwan KIM
;
Eue Keun CHOI
;
Jin Ho CHOI
;
Seil OH
;
In Ho CHAE
;
Hyo Soo KIM
;
Young Bae PARK
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Carotid sinus;
Massage;
Angina pectoris;
Spasm
- MeSH:
Angina Pectoris;
Carotid Sinus;
Chest Pain;
Coronary Angiography;
Coronary Vasospasm*;
Coronary Vessels;
Ergonovine;
Humans;
Male;
Massage;
Middle Aged;
Myocardial Ischemia;
Neck*;
Spasm
- From:Korean Circulation Journal
2002;32(9):820-824
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Prinzmetal, or variant, angina is an unusual syndrome of cardiac pain, which is secondary to myocardial ischemia resulting from transient increases in coronary vasomotor tone or vasospasm. We experienced a 58-year-old male patient with an unusual ST segment using carotid sinus massage during neck surgery. A coronary angiography, with intravenous ergonovine provocation, showed a reversible coronary artery spasm with typical chest pain and ST segment elevation. This is a report of coronary vasospasm detected during neck surgery, and suggests the role of a dynamic sequential change in autonomic function as a key player in the mechanism behind coronary vasospasm.
