Coronary artery spasm

Is ST-elevation key for diagnosis?

Pedro A. Villablanca, David F. Briceno, Anand D. Jagannath, Martin Cohen, Robert Pyo

Research output: Contribution to journalLetter

Abstract

Coronary vasospasm is uncommon during pregnancy and the postpartum period. We present a very rare case of an acute coronary vasospasm in a 36-year-old woman who was two weeks postpartum. The coronary arteriograms showed a coronary vasospasm in the distal left anterior descending and circumflex coronary arteries. Electrocardiogram (ECG) presentation was atypical, with T-wave inversions in leads I, aVL, and V2 to V6. To our knowledge, this is the first case with a well-documented coronary artery vasospasm in a postpartum woman without the classic ST elevation on ECG. Management should follow the usual principles of care for acute coronary vasospasm.

Original languageEnglish (US)
Pages (from-to)11-12
Number of pages2
JournalAcute Cardiac Care
Volume18
Issue number1
DOIs
StatePublished - Jan 2 2016

Fingerprint

Coronary Vasospasm
Spasm
Coronary Vessels
Postpartum Period
Electrocardiography
Pregnancy

Keywords

  • Coronary vasospasm
  • postpartum
  • ST elevation

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Villablanca, P. A., Briceno, D. F., Jagannath, A. D., Cohen, M., & Pyo, R. (2016). Coronary artery spasm: Is ST-elevation key for diagnosis? Acute Cardiac Care, 18(1), 11-12. https://doi.org/10.1080/17482941.2016.1234057

Coronary artery spasm : Is ST-elevation key for diagnosis? / Villablanca, Pedro A.; Briceno, David F.; Jagannath, Anand D.; Cohen, Martin; Pyo, Robert.

In: Acute Cardiac Care, Vol. 18, No. 1, 02.01.2016, p. 11-12.

Research output: Contribution to journalLetter

Villablanca, PA, Briceno, DF, Jagannath, AD, Cohen, M & Pyo, R 2016, 'Coronary artery spasm: Is ST-elevation key for diagnosis?', Acute Cardiac Care, vol. 18, no. 1, pp. 11-12. https://doi.org/10.1080/17482941.2016.1234057
Villablanca PA, Briceno DF, Jagannath AD, Cohen M, Pyo R. Coronary artery spasm: Is ST-elevation key for diagnosis? Acute Cardiac Care. 2016 Jan 2;18(1):11-12. https://doi.org/10.1080/17482941.2016.1234057
Villablanca, Pedro A. ; Briceno, David F. ; Jagannath, Anand D. ; Cohen, Martin ; Pyo, Robert. / Coronary artery spasm : Is ST-elevation key for diagnosis?. In: Acute Cardiac Care. 2016 ; Vol. 18, No. 1. pp. 11-12.
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