Key result
Coronary vasospasm mimicking acute myocardial infarction in a 49-year-old man was successfully treated with sublingual nitroglycerin and subsequent percutaneous coronary intervention.
Case Report (n=1)
Coronary vasospasm can present with dynamic EKG changes and may require percutaneous coronary intervention if refractory to medical therapy and superimposed on atherosclerotic plaque.
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Coronary vasospasm warrants consideration in AMI mimics; this single case leaves open the role of PCI after initial medical therapy.
Davies et al. (2014) conducted a case report in Coronary artery spasm (n=1). Sublingual nitroglycerin and percutaneous coronary intervention was evaluated on Resolution of symptoms and EKG changes. Coronary vasospasm mimicking acute myocardial infarction in a 49-year-old man was successfully treated with sublingual nitroglycerin and subsequent percutaneous coronary intervention.
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