Coronary artery spasm: a Quandary

Ngow, Harris Abdullah and Wan Mohd Nowalid, Wan Khairina (2011) Coronary artery spasm: a Quandary. International Medical Journal Malaysia, 10 (1). pp. 53-55. ISSN 1823-4631

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Abstract

Coronary artery spasm can result in acute coronary syndrome. This vasospastic syndrome can cause profound morbidity and mortality as a significant proportion of patients continue to have angina despite optimal medical therapy. We illustrate the dilemma in managing a young woman who presented with non ST-segment myocardial infarction as a result of it. She did not have the conventional risks for coronary artery disease except the family history of myocardial infarction. Vasospasm was demonstrated at the mid right coronary artery which resolved with intracoronary nitroglycerine during angiogram. Most women with no significant heart disease following demonstration of normal or “near normal” coronary arteries after angiography are offered no treatment beyond reassurance each year. New data suggest that this approach may no longer be appropriate and the prognosis in such patient is not as benign as previously thought. We discuss the management dilemma of such patient with associated mild atherosclerotic plaque.

Item Type:	Article (Journal)
Additional Information:	4393/ 5107
Uncontrolled Keywords:	Coronary vasospasm, Myocardial infarction, Non-atherosclerosis, Acute coronary syndrome
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Associate Professor Dr Harris Ngow Abdullah
Date Deposited:	28 Oct 2011 12:51
Last Modified:	28 Oct 2011 12:51
URI:	http://irep.iium.edu.my/id/eprint/5107

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