| Literature DB >> 22826651 |
Hm Hadi1, Sp D'souza, M El-Omar.
Abstract
Acute ST-elevation myocardial infarction (STEMI) is a well recognized manifestation of severe coronary artery spasm. Although there are many recognized triggers, hypovolemia has not been previously described. The present report describes a case of acute STEMI that occurred four days following major colonic surgery in a severely dehydrated patient. Coronary angiography revealed underfilled coronary arteries with severe multifocal spasm, which largely resolved with aggressive fluid repletion and intracoronary nitrate.Entities:
Keywords: Coronary spasm; Hypovolemia; Myocardial infarction; STEMI
Year: 2012 PMID: 22826651 PMCID: PMC3395459
Source DB: PubMed Journal: Exp Clin Cardiol ISSN: 1205-6626