Literature DB >> 25225191

ST-elevation myocardial infarction secondary to coronary artery spasm provoked by food.

William Young1, Rai Bhichhyan2, Alamgir Kabir3, Wajid Hussain4.   

Abstract

We describe a patient with recurrent episodes of inferior ST elevation, secondary to coronary artery spasm. Each episode appeared to be provoked by the ingestion of rice and accompanied by a troponin T rise. An inpatient coronary angiogram immediately following an episode of pain demonstrated a focal area of spasm affecting the right coronary artery, which resolved with intracoronary nitrate injection. Although these episodes were self-limiting, cardiac MRI confirmed an acute subendocardial infarct. An association between food substances and coronary artery spasm with subsequent infarction has not been documented previously. Following appropriate advice and titration of antispasmodic medication, the patient has been pain free. 2014 BMJ Publishing Group Ltd.

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Year:  2014        PMID： 25225191      PMCID： PMC4166243          DOI： 10.1136/bcr-2014-205222

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  20 in total

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Journal:  Eur Heart J       Date:  1996-03       Impact factor: 29.983
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