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 journalLetterpeer-review

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

Keywords

  • Coronary vasospasm
  • ST elevation
  • postpartum

ASJC Scopus subject areas

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

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