Acute coronary syndrome as the first symptom of vasospastic angina – case report of a 38-year-old man with myocardial infarction with non-obstructive coronary artery disease
A 38-year-old obese man with hypertension and a twenty-year history of nicotinism was admitted for a suspected ST-segment elevation myocardial infarction (STEMI). Coronary angiography did not reveal significant coronary artery stenosis, which, together with symptoms of acute coronary syndrome and in...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Śląski Uniwersytet Medyczny w Katowicach
2024-11-01
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| Series: | Annales Academiae Medicae Silesiensis |
| Subjects: | |
| Online Access: | https://annales.sum.edu.pl/Acute-coronary-syndrome-as-the-first-symptom-of-vasospastic-angina-case-report-of,190767,0,2.html |
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| Summary: | A 38-year-old obese man with hypertension and a twenty-year history of nicotinism was admitted for a suspected ST-segment elevation myocardial infarction (STEMI). Coronary angiography did not reveal significant coronary artery stenosis, which, together with symptoms of acute coronary syndrome and increased troponin I levels, led to the diagnosis of myocardial infarction with non-obstructive coronary artery disease (MINOCA) and implied a differential diagnosis. Given the clinical picture, a provocative test with acetylcholine was performed, which indicated the vasoconstrictive origin of MINOCA. In order to reduce the likelihood of another episode, pharmacotherapy was changed and lifestyle changes were recommended. |
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| ISSN: | 1734-025X |