Why the study?
Coronary artery spasms can cause severe cardiac events, presenting diagnostic challenges where thorough evaluation is needed to avoid unnecessary interventions.
Highlights the severe presentations of multiple coronary artery spasms and the importance of thorough diagnostic evaluation to avoid unnecessary interventions.
Multiple CAS can cause recurrent ischemia with fluctuating ECGs; this Level 5 case leaves open standardized diagnostic protocols.
Coronary artery spasms (CAS) can manifest in various forms, from silent ischemia to severe cardiac events like myocardial infarction and sudden death. This case involves a 56-year-old male with recurrent ischemic chest pain and varying ECG signs. Cardiac catheterization revealed multiple coronary spasms that resolved spontaneously or with intracoronary nitroglycerin. The report emphasizes the severe presentations of multiple CAS and the importance of thorough diagnostic evaluation to avoid unnecessary interventions, highlighting the diagnostic challenges in managing such cases.
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Amro et al. (2024) studied this question.
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