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Netherlands Heart Journal
Gepubliceerd in:

01-01-2013 | Case Report

A cataclasm due to spasm

Auteurs: R. N. Denham, Y. E. Appelman, G. J. E. Verdel

Gepubliceerd in: Netherlands Heart Journal | Uitgave 1/2013

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Abstract

We describe a 59-year-old patient presenting with ST-elevation acute coronary syndrome. Coronary angiography with intravascular ultrasound (IVUS) showed an important nonsignificant atherosclerotic lesion in the proximal left anterior descending artery (LAD) and presence of bridging in the mid-LAD. Our hypothesis was that focal spasm at this site was the cause of transmural ischaemia; therefore, treatment was given by performing a percutaneous coronary intervention (PCI) of the lesion. The patient remained symptom-free which confirmed our conclusion. The myocardial bridging had no clinical implications at this moment.
vorige artikel Cardiopulmonary exercise test predicts sustained ventricular arrhythmias in chronic heart failure
volgende artikel Palpitations, once again
Literatuur
1.
Cannon CP, Braunwald E. Braunwald’s Heart Disease 7th edition. Elsevier Saunders. 2005; 49: 1264–7.
2.
Saito S, Yamagishi M, Takayama T, et al. Plaque morphology at coronary sites with focal spasm in variant angina. Circ J. 2003;67:1041–5.PubMedCrossRef
3.
Tsujita K, Maehara A, Mintz GS, et al. Comparison of angiographic and intravascular ultrasonic detection of myocardial bridging of the left anterior descending coronary artery. Am J Cardiol. 2008;102:1608–13.PubMedCrossRef
4.
Möhlenkamp S, Hort W, Junbo G, et al. Update on myocardial bridging. Circulation. 2002;106:2616–22.PubMedCrossRef
5.
Ge J, Erbel HJ, Rupprecht HJ, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging. Circulation. 1994;89:1725–32.PubMedCrossRef
Metagegevens
Titel
A cataclasm due to spasm
Auteurs
R. N. Denham
Y. E. Appelman
G. J. E. Verdel
Publicatiedatum
01-01-2013
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 1/2013
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-012-0328-0

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