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November 4, 2020BMC Cardiovascular DisordersOpen Access

Alternate recurrent coronary artery spasm and stress cardiomyopathy: a case report

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Key result

A 59-year-old man experienced alternate recurrent coronary artery spasm and stress cardiomyopathy over a period of approximately 5 years, highlighting the possibility of both conditions occurring in the same individual.

Why the study?

Coronary artery spasm and stress cardiomyopathy have known recurrence rates, but alternate recurrence of both conditions in the same individual has not been described.

Population

A 59-year-old man with atypical chest pain and recurrent acute heart attacks

Design

Case report

Follow-up

Approximately 5 years

Authors

YJYunpeng JinZhejiang International Studies UniversityQLQiming LiGuangzhou University of Chinese MedicineXGXiaogang GuoHebei University of Engineering

Discussion

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Implication

May represent alternating spasm and stress cardiomyopathy in recurrent MINOCA; hypothesis-generating case observation requiring prospective validation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 59-year-old man who suffered from alternate recurrent coronary artery spasm and stress cardiomyopathy over a period of approximately 5 years.

This case highlights the possibility of alternate recurrent coronary artery spasm and stress cardiomyopathy in the same individual, emphasizing the need for careful diagnostic evaluation in MINOCA.

Limitations

  • Cardiac magnetic resonance imaging (CMRI) and provocative tests were not performed during the second episode.
  • Left ventriculography was not performed during the third episode.
  • CMRI and provocative tests were not performed
  • Left ventriculography was not performed during the third episode

Cite This Study

Jin et al. (2020) conducted a case report in Coronary artery spasm and stress cardiomyopathy (n=1). A 59-year-old man experienced alternate recurrent coronary artery spasm and stress cardiomyopathy over a period of approximately 5 years, highlighting the possibility of both conditions occurring in the same individual.

synapsesocial.com/papers/6a99e485ecbe110cbfaa74d6https://doi.org/10.1186/s12872-020-01760-2

Topics

Coronary CT angiography
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Also Consider

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  1. 1Coronary artery spasm — Clinical features, pathogenesis and treatment —2019 · 117 citations
  2. 2Clinical implications of provocation tests for coronary artery spasm: safety, arrhythmic complications, and prognostic impact: Multicentre Registry Study of the Japanese Coronary Spasm Association2012 · 233 citations
  3. 3Transient left ventricular apical ballooning: A unifying pathophysiologic theory at the edge of Prinzmetal angina2008 · 101 citations
  4. 4Reversible coronary microvascular dysfunction: a common pathogenetic mechanism in Apical Ballooning or Tako-Tsubo Syndrome2010 · 323 citations
  5. 5Advances in Mechanisms and Treatment Options of MINOCA Caused by Vasospasm or Microcirculation Dysfunction2018 · 18 citations