Coronary artery spasm: Is ST-elevation key for diagnosis?. (2nd January 2016)

• Record Type: Journal Article
• Authors: Villablanca, Pedro A.; Briceno, David F.; Jagannath, Anand D.; Cohen, Martin; Pyo, Robert
• Is Part Of: Acute cardiac care. Volume 18:Number 1(2016)
• Page Start: 11
• Page End: 12
• Publication Date: 2016-01-02
• Subjects: Coronary vasospasm -- postpartum -- ST elevation; Cardiac intensive care -- Periodicals; Cardiovascular system -- Diseases -- Treatment -- Periodicals; 616.12028
• DOI: 10.1080/17482941.2016.1234057
• Languages: English
• ISSNs: 1748-2941

Abstract

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.