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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

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.

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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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