Naslov
Variant angina in a patient with non-obstructive atherosclerotic coronary lesion and myocardial bridging: a puzzle not so easy to solve.

Autori
Baricevic, Zeljko ; Maric Besic, Kristina ; Strozzi, Maja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, prošireni sažetak, stručni

Skup
VII. nacionalni sastanak o kardiovaskularnim intervencijama s međunarodnim sudjelovanjem, VI. sastanak intervencijskih kardioloških medicinskih sestara i tehničara, Crointervent 2016

Mjesto i datum
Zagreb, Hrvatska, 10.03.2016. - 12.03.2016

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
coronary artery spasm, variant angina, myocardial bridging, acute coronary syndrome.

Sažetak
A 66-year-old man was admitted to our department due to persistent chest pain that awoke him from sleep, accompanied by transient ST elevation in anteroseptal leads (Figure 1). Several months earlier a coronary angiography was done due to anginal pain that only revealed nonsignificant atherosclerotic lesion in the ostial segment of the left anterior descending (LAD) artery and mild myocardial bridging of the middle LAD segment, and the patient was discharged on low dose of bisoprolol, amlodipine, aspirin, statin and sublingual nitroglycerin as needed. At this point, the pain was relieved after administration of sublingual nitroglycerin. Echocardiogram showed no regional wall abnormalities and the high-sensitive troponin T test came back normal repeatedly. Coronary angiography was performed the following day, showing nonstenotic coronary lesions at first, but after several contrast dye injections, the ostial LAD showed a total occlusion (Figure 2). Intracoronarynitroglycerin was then given that gradually led to a complete relief of the obstruction, revealing theunderlying atherosclerotic lesion (Figure 3).

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA