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January 1, 2020World Journal of Cardiovascular DiseasesOpen Access

Myocardial Infarction Complicating Vasospastic Angina in a Female Patient—Case Report

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Why the study?

Coronary artery vasospasm is an infrequent cause of ACS, and acute coronary syndrome complicating prolonged coronary artery vasospasm makes the diagnosis challenging.

Population

A 50-year-old female with persistent chest discomfort related to anterior STEMI

Design

Case report

Authors

SNSerigne Cheikh Tidiane NdaoMKMame Madjiguène KaKDKhadidiatou Dia

Discussion

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Overview

Apparent LAD stenosis in STEMI may reflect spasm relieved by nitrates; this case leaves open routine spasm assessment in rescue PCI.

Structured PICO

P
Population
A 50-year-old female presenting with persistent chest discomfort related to anterior STEMI, complicated by vasospastic angina.
I
Intervention
Diagnostic and therapeutic management including intracoronary nitrates, Optical Coherence Tomography (OCT), Ergonovine provocation test, and calcium channel blockers.
O
Outcome
Diagnosis and clinical stabilization of vasospastic angina presenting as acute coronary syndrome.

Prolonged coronary artery vasospasm can cause acute coronary syndrome, and multimodality assessment with OCT and provocation testing is crucial for accurate diagnosis and management.

Cite This Study

Ndao et al. (2020) studied this question.

synapsesocial.com/papers/6a76df6f137c7dcc81bd75fehttps://doi.org/10.4236/wjcd.2020.103016
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Vasospastic Angina Unmasked on Repeat Coronary Angiography in a Patient Without Typical Triggers: A Case Report2025
  2. 2The role of computed tomography coronary angiography in multi-vessel coronary vasospasm: a case report2021
  3. 3Vasospastic Angina in a Young Woman: A Case Report2023 · 1 citations
  4. 4Case report: A rare manifestation of vasospasm induced myocardial infarction with ST-segment elevation in a young male patient2023 · 4 citations
  5. 5Catheter-induced Multiple Non-proximal Coronary Spasm in a Patient Presenting with Myocardial Infarction2020 · 4 citations