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Int J Angiol 2006; 15(1): 51-55
DOI: 10.1007/s00547-006-2054-1
© Georg Thieme Verlag KG Stuttgart · New York

Refractory case of coronary artery spasm with interesting findings: A case report

Nedaa Skeik1 , Sherif Yacoub-Wasef2 , Aleksy Kamenetsky3 , Shobhana Chaudhari4
  • 1New York Medical College, St. Mary's Regional Medical Center, Lewiston, ME, USA
  • 2Department of Medicine and Endocrinology, Medical University of South Carolina, Columbia, SC, USA
  • 3Department of Medicine, Mount Sinai School of Medicine, Elmhurst Hospital Center, Elmhurst, NY, USA
  • 4Department of Medicine, New York Medical College, Metropolitan Hospital Center, New York, NY, USA
No financial support was needed or provided by any source.
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Publication History

Publication Date:
27 April 2011 (online)

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Abstract

This is a case of refractory vasospastic angina with unusual electrocardiographic findings and rare coronary angiographic documentation of diffuse spasm of the left coronary system with a baseline of near normal coronary arteries. A 66-year-old man presented with severe vasospastic angina that eventually progressed to non-ST elevation myocardial infarction (NSTEMI). During the episodes of chest pain, the electrocardiogram revealed ST segment depression rather than elevation. Coronary angiography revealed near normal coronary arteries with initial diffuse spasm of the left coronary system. The patient continues to be symptomatic despite treatment with different forms and doses of nitrates and calcium channel blockers.