Key result
Severe coronary artery spasm was angiographically demonstrated to cause acute myocardial infarction and ventricular fibrillation in a woman with normal coronary arteries.
Highlights that severe coronary artery spasm can lead to acute myocardial infarction and ventricular fibrillation even in the absence of obstructive coronary artery disease.
Coronary spasm may cause transmural MI and VF with normal arteries; leaves open need for targeted diagnostics and trials.
A case of acute transmural anteroseptal infarction and ventricular fibrillation, in a woman with normal coronary arteries is presented. Severe coronary artery spasm was demonstrated angiographically, and is postulated as the cause of infarction and arrhythmia.
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Brown et al. (1981) studied this question. Severe coronary artery spasm was angiographically demonstrated to cause acute myocardial infarction and ventricular fibrillation in a woman with normal coronary arteries.
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