Cardiogenic Shock From Global Myocardial Ischemia Induced by Simultaneous Multivessel Coronary Spasm.
10.4070/kcj.2012.42.6.427
- Author:
Jihye AHN
1
;
Bo Sung KIM
;
Hyekyong PARK
;
Kyungil PARK
;
Young Dae KIM
Author Information
1. Department of Internal Medicine, Dong-A University School of Medicine, Busan, Korea. kimyd@mail.donga.ac.kr
- Publication Type:Case Report
- Keywords:
Shock, cardiogenic;
Myocardial infarction;
Coronary vasospasm
- MeSH:
Acute Coronary Syndrome;
Arteries;
Blood Glucose;
Cardiac Catheterization;
Cardiac Catheters;
Chest Pain;
Coronary Vasospasm;
Coronary Vessels;
Humans;
Isosorbide Dinitrate;
Korea;
Middle Aged;
Myocardial Infarction;
Myocardial Ischemia;
Shock, Cardiogenic;
Spasm
- From:Korean Circulation Journal
2012;42(6):427-430
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronary artery spasm is an uncommon, but well recognized, etiology for acute myocardial infarction. However, cardiogenic shock with myocardial infarction resulting from simultaneous multiple coronary artery spasm has been rarely reported, and not in Korea. Recently, we experienced such a case in a 50-year-old Korean man without previous diagnosis of variant angina. The patient, hospitalized for blood sugar control, developed severe chest pain accompanying ST-segment elevation in multiple leads. The patient immediately received cardiac catheterization because of cardiogenic shock. Coronary angiogram revealed the severe and simultaneous spasm of three major epicardial arteries, which was promptly relieved by an intracoronary administration of isosorbide dinitrate. This case highlights the need to rule out the potential mechanism of coronary spasm even in the most severe episodes of acute coronary syndrome.
