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Cureus. 2020 May 25;12(5):e8271. doi: 10.7759/cureus.8271.

Fatal Multi-Vessel Coronary Vasospasm: A Case Report.

Cureus

Hanane Aissaoui, Mohamed Boutaybi, Alla Ikbal, Noha Elouafi, Nabila Ismaili

Affiliations

  1. Cardiology, Mohammed I University/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR.
  2. Cardiology, Mohammed I University/Mohammed VI University Hospital, Oujda, MAR.

PMID: 32596087 PMCID: PMC7314376 DOI: 10.7759/cureus.8271

Abstract

We report a case of a 59-year-old female who experienced a history of an acute ST myocardial infarction. Percutaneous intervention and isosorbide dinitrate perfusion were successful in reversing the severe vasospasm on the left anterior descending, the first diagonal, and posterior interventricular arteries. The patient received calcium channel blockers and nitrates with a good in-hospital clinical evolution. One month later, the patient presented to the ED with chest pain leading to cardiac arrest despite cardiopulmonary resuscitation. This case highlights the fatal outcome of coronary artery vasospasm.

Copyright © 2020, Aissaoui et al.

Keywords: acute coronary syndrome; case report; coronary vasospasm; sudden death

Conflict of interest statement

The authors have declared that no competing interests exist.

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