Key result
Coronary artery spasm of non-infarct-related arteries can occur during an acute myocardial infarction with cardiogenic shock, requiring awareness for proper management.
Case Report (n=1)
Highlights the possibility of coronary artery spasm in non-infarct-related arteries during acute myocardial infarction with cardiogenic shock, emphasizing the need for awareness and proper management.
Supports vigilance for non-IRA spasm in AMI shock; leaves open confirmation in prospective studies.
Coronary artery vasospasm can cause a transient, abrupt, marked decrease in the diameter of an epicardial coronary artery. Various mechanisms have been reported, including vasoconstrictor substances, pharmacologic stimuli, and neurohumoral effects. Spasm usually develops at the site of sub-critical or critical stenosis, but it may also occur in angiographically normal arteries, particularly in Asian patients. There appears to be a higher prevalence of coronary spasm in patients with acute coronary syndrome (20% to 38%) than in those with stable angina (＜6%). We report a case of coronary artery spasm of the non-infarct-related arteries during an acute myocardial infarction with cardiogenic shock. This possibility should be kept in mind so that it can be properly managed if present.
No takes yet. Share an insight, caveat, or question.
Sung et al. (2005) conducted a case report in Acute myocardial infarction with cardiogenic shock (n=1). Coronary artery spasm was evaluated. Coronary artery spasm of non-infarct-related arteries can occur during an acute myocardial infarction with cardiogenic shock, requiring awareness for proper management.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: