Document Detail


Spontaneous multivessel coronary vasospasm leading to cardiogenic shock.
MedLine Citation:
PMID:  17404410     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of spontaneous multivessel coronary vasospasm leading to anterior myocardial infarction and cardiogenic shock in the setting of treatment with methylphenidate and withdrawal from beta-blockers and calcium channel-antagonists. The patient was stabilized with an intra-aortic balloon pump and treated with coronary stenting and vasodilators and ultimately had an uneventful recovery. We review the diagnosis and treatment of coronary vasospasm and the implications of coronary vasoreactivity in the pathophysiology of myocardial infarction.
Authors:
Guilherme Bromberg-Marin; Ehtisham Mahmud; Sotirios Tsimikas
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  19     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-03     Completed Date:  2007-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E85-8     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Diseases, University of California San Diego, La Jolla, CA 92093-0682, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Coronary Angiography
Coronary Vasospasm / complications*,  diagnosis,  physiopathology,  therapy
Electrocardiography
Female
Humans
Intra-Aortic Balloon Pumping
Myocardial Infarction / etiology,  physiopathology
Prognosis
Respiration, Artificial
Shock, Cardiogenic / etiology*,  physiopathology

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