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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| Format: | Article |
| Language: | English |
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Śląski Uniwersytet Medyczny w Katowicach
2024-11-01
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| Series: | Annales Academiae Medicae Silesiensis |
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| 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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| _version_ | 1846115538096357376 |
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| author | Łukasz Gabryel Klaudyna Bugla Tomasz Pawłowski Aneta Gziut-Rudkowska |
| author_facet | Łukasz Gabryel Klaudyna Bugla Tomasz Pawłowski Aneta Gziut-Rudkowska |
| author_sort | Łukasz Gabryel |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-83741967d71142c4a7159f9c63bfd2f3 |
| institution | Kabale University |
| issn | 1734-025X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Śląski Uniwersytet Medyczny w Katowicach |
| record_format | Article |
| series | Annales Academiae Medicae Silesiensis |
| spelling | doaj-art-83741967d71142c4a7159f9c63bfd2f32024-12-19T12:24:26ZengŚląski Uniwersytet Medyczny w KatowicachAnnales Academiae Medicae Silesiensis1734-025X2024-11-017830430810.18794/aams/190767Acute 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 diseaseŁukasz Gabryel0https://orcid.org/0009-0000-4615-9920Klaudyna Bugla1https://orcid.org/0009-0003-7451-3570Tomasz Pawłowski2Aneta Gziut-Rudkowska3https://orcid.org/0000-0002-7627-8813Department of Cardiology, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, PolandDepartment of Cardiology, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, PolandDepartment of Cardiology, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland / Centre of Postgraduate Medical Education, Warsaw, Poland Department of Cardiology, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland / Centre of Postgraduate Medical Education, Warsaw, PolandA 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.https://annales.sum.edu.pl/Acute-coronary-syndrome-as-the-first-symptom-of-vasospastic-angina-case-report-of,190767,0,2.htmlstemicoronary artery spasmacetylcholineminocaprovocation testvsavasospastic angina |
| spellingShingle | Łukasz Gabryel Klaudyna Bugla Tomasz Pawłowski Aneta Gziut-Rudkowska 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 Annales Academiae Medicae Silesiensis stemi coronary artery spasm acetylcholine minoca provocation test vsa vasospastic angina |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | stemi coronary artery spasm acetylcholine minoca provocation test vsa vasospastic angina |
| url | 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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