5,194 results match your criteria Coronary Artery Vasospasm


Kounis syndrome induced by oral intake of aspirin: case report and literature review.

Pan Afr Med J 2018 30;30:301. Epub 2018 Aug 30.

Department of Cardiology B, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco.

The Kounis-Zavras syndrome is defined as the coincidental occurrence of acute coronary events and hypersensitivity reactions following an allergic reaction including a mast-cell degranulation of vasospastic mediators. This report describes a case of Kounis-Zavras syndrome in the setting of aspirin-induced asthma also known as Samter-Beer triad combining nasal polyps, asthma, and aspirin allergy leading to vasospasm and myocardial infarction. All physicians should be aware of The Kounis syndrome and always keep that unique clinical entity in mind to recognize it promptly and direct the therapy at suppressing the allergic reaction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2018.30.301.14948DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320451PMC

Post-partum Spontaneous Coronary Artery Dissection: A Case Report.

Am J Med Case Rep 2018 7;6(10):218-221. Epub 2018 Dec 7.

Division of Rheumatology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA.

Spontaneous coronary artery dissection (SCAD) is a rare illness often misdiagnosed, that accounts for up to 4% of cases of acute coronary syndrome in young women. Interestingly, SCAD is the most common cause of myocardial infarction related to pregnancy. Here, we present a case of a 35-year old postpartum patient who presented in cardiac arrest due to ventricular fibrillation and was found to have a ST-segment elevation myocardial infarction. Read More

View Article

Download full-text PDF

Source
http://pubs.sciepub.com/ajmcr/6/10/6/index.html
Publisher Site
http://dx.doi.org/10.12691/ajmcr-6-10-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322694PMC
December 2018
2 Reads

Unexpected, But Reasonable Association Between Anderson-Fabry Disease and Coronary Vasospasm.

Circ J 2018 Dec 29. Epub 2018 Dec 29.

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1253/circj.CJ-18-1355DOI Listing
December 2018

Marijuana-associated ST-elevation myocardial infarction: is this a benign drug.

BMJ Case Rep 2018 Dec 13;11(1). Epub 2018 Dec 13.

Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA.

Marijuana is the most commonly used psychoactive drug in the USA. A 35-year-old man with a medical history of marijuana abuse is admitted to the hospital due to crushing substernal chest pain. ECG shows evolving ST-segment elevation with a rise in cardiac enzymes, consistent with ST-elevation myocardial infarction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-226894DOI Listing
December 2018

Lambda-like ST-segment elevation in acute myocardial infarction triggered by coronary spasm may be a new risk predictor for lethal ventricular arrhythmia: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13561

Department of Cardiology.

Rationale: The lambda-like ST-elevation electrocardiography (ECG) pattern is extremely rare in patients with type 2 myocardial infarction (T2MI) triggered by coronary spasm. When this ECG pattern appears, sudden cardiac death (SCD) caused by lethal ventricular arrhythmia may occur because clinicians do not pay sufficient attention to this phenomenon.

Patient Concerns: We describe a 41-year-old man who presented with steep down-sloping ST-segment elevation, paroxysmal ventricular tachycardia, severe sinus bradycardia, and intermittent complete atrioventricular block on ECG during the sudden recurrence of clinical symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310568PMC
December 2018

Intraprocedure Type II Kounis Syndrome Secondary to Radioiodine Contrast During Coronary Angiography.

Can J Cardiol 2018 Dec 24;34(12):1688.e1-1688.e3. Epub 2018 Aug 24.

Department of Cardiology, Westmead Hospital, New South Wales, Australia.

An 83-year-old man with a previous right coronary artery (RCA) stent presented to the emergency department with syncope, dynamic lateral ST depression, and a serum troponin of 6148 ng/L (< 17). Coronary angiography revealed a patent proximal RCA stent and significant left-sided disease. The procedure was complicated by inferior ST elevation, urticaria, hypotension, and acute proximal RCA occlusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cjca.2018.08.029DOI Listing
December 2018
2 Reads

Coronary Vasospasm Following Heart Transplantation: Rapid Progression to Aggressive Cardiac Allograft Vasculopathy.

Can J Cardiol 2018 Dec 20;34(12):1687.e9-1687.e11. Epub 2018 Aug 20.

Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address:

Coronary artery vasospasm (CVS) has been described in orthotopic heart transplant patients but is rare in the post-transplanted, denervated heart. Severe CVS has been associated with accelerated cardiac allograft vasculopathy (CAV) and allograft rejection. Allograft vasculopathy is the leading cause of decreased long-term survival in orthotopic heart transplant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cjca.2018.08.022DOI Listing
December 2018

A silent myocardial infarction with normal coronary arteries associated with Graves' disease.

Heart Lung 2018 Nov 28. Epub 2018 Nov 28.

Division of Endocrinology, Tongji Hospital, Huazhong University of Science & Technology, Jiefang Road 1095, Wuhan 430030, Hubei, PR China. Electronic address:

Acute myocardial infarction (AMI) is a scarce but fatal complication in Graves' disease (GD). Silent myocardial infarction (MI) associated with GD has never been reported. A 37-year-old male patient was admitted due to poorly controlled hyperthyroidism and persistent fever. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hrtlng.2018.11.003DOI Listing
November 2018
1 Read

Coronary spasm: It's common, but it's still unsolved.

World J Cardiol 2018 Nov;10(11):201-209

Department of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima 732-0057, Japan.

Coronary spasm is caused by a transient coronary narrowing due to the constriction of epicardial coronary artery, which leads to myocardial ischemia. More than 50 years have passed since the first recognition of coronary spasm, and many findings on coronary spasm have been reported. Coronary spasm has been considered as having pivotal roles in the cause of not only rest angina but also exertional angina, acute coronary syndrome, and heart failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4330/wjc.v10.i11.201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259026PMC
November 2018

The multi-vessel and diffuse coronary spasm is a risk factor for persistent angina in patients received anti-angina medication.

Medicine (Baltimore) 2018 Nov;97(47):e13288

Cardiovascular Division, Department of Internal Medicine, Dankook University Hospital, Cheonan, Korea.

Coronary artery spasm (CAS) is known to be a risk factor for cardiovascular events. However, there is limited data whether the multi-vessel and diffuse spasm (MVDS) is related to more adverse clinical outcomes compared to the Non-MVDS. The aim of this study is to evaluate the impact of the MVDS on clinical outcomes during a 3-year clinical follow-up period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013288DOI Listing
November 2018
4 Reads

Advanced imaging techniques (CT and MR): Gender-based diagnostic work-up in ischemic heart disease?

Int J Cardiol 2018 Nov 7. Epub 2018 Nov 7.

Centro Cardiologico Monzino, IRCCS, Milan, Italy. Electronic address:

It is ascertained that the epidemiology and social impact of ischemic heart disease is substantially different between the two genders. Moreover, there is substantial evidence that gender is able to modulate the clinical manifestation of most cardiac diseases, and specifically of coronary artery disease. Particularly, women present less angiographically significant coronary artery disease, smaller vessel lumen, and less plaque rupture occurrence as compared to men. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijcard.2018.11.010DOI Listing
November 2018
4 Reads

Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease.

Ann Vasc Dis 2018 Sep;11(3):369-372

Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

A 79-year-old man with a heavy smoking history presented with threatened lower limbs due to acute exacerbation of peripheral artery disease (PAD). He underwent emergent distal bypass surgery for the right leg and external iliac stenting for the left leg. Fatal coronary artery spasm (CAS) with ST segment changes on electrocardiography was observed 28 h after the procedures, resulting in cardiac arrest. Read More

View Article

Download full-text PDF

Source
https://www.jstage.jst.go.jp/article/avd/11/3/11_cr.18-00050
Publisher Site
http://dx.doi.org/10.3400/avd.cr.18-00050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200607PMC
September 2018
9 Reads

Bolus 5-fluorouracil (5-FU) In Combination With Oxaliplatin Is Safe and Well Tolerated in Patients Who Experienced Coronary Vasospasm With Infusional 5-FU or Capecitabine.

Clin Colorectal Cancer 2018 Oct 10. Epub 2018 Oct 10.

Department of Medical Oncology, Mayo Clinic, Rochester, MN.

Introduction: Coronary vasospasm associated with fluoropyrimidine (FP)-based chemotherapy is a potentially serious complication and reported to occur more often with infusional 5-fluorouracil (5-FU) or capecitabine than with bolus 5-FU. Given the additional benefit of oxaliplatin over FP alone in the management of colorectal cancer, retaining oxaliplatin in the treatment regimen is desirable, but the safety of combining bolus 5-FU with oxaliplatin in patients with FP-induced vasospasm is not well established. We performed a retrospective review to explore the safety of substituting FLOX (bolus 5-FU, oxaliplatin, leucovorin) for FOLFOX (infusional 5-FU, oxaliplatin, leucovorin) and CAPOX (capecitabine, oxaliplatin) in patients who had FP-induced coronary vasospasm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clcc.2018.09.006DOI Listing
October 2018

New onset acute pulmonary edema after methylergonovine given during cesarean delivery of a patient with undiagnosed Raynaud's disease.

Int J Obstet Anesth 2018 Nov 29;36:111-114. Epub 2018 May 29.

The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287, USA.

Raynaud's disease is a medical condition in which arterial spasm causes episodes of reduced blood flow, in the setting of certain triggers such as cold weather. Patients with this condition are at risk of adverse reactions if they receive medications with vasoactive properties. Methylergonovine maleate is one drug used during cesarean delivery to treat postpartum hemorrhage due to uterine atony. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijoa.2018.05.006DOI Listing
November 2018
3 Reads

Coronary artery vasospasm in a patient withChurg-Strauss syndrome.

BMJ Case Rep 2018 Oct 25;2018. Epub 2018 Oct 25.

Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.

Patients with Churg-Strauss syndrome often suffer from unusual cardiac manifestations and sudden cardiac death. This differs from patients with other autoimmune disorders, who typically present with premature ischaemic heart disease. We report the case of a 56-year-old man with recurrent coronary vasospasm, including an inferoposterior ST-elevation myocardial infarction, complicated by bradycardic arrest. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225321DOI Listing
October 2018
2 Reads

Responses of Endothelial Cells Towards Ischemic Conditioning Following Acute Myocardial Infarction.

Cond Med 2018 Aug;1(5):247-258

Cardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, Singapore, Singapore.

One of the primary therapeutic goals of modern cardiology is to design strategies aimed at minimizing myocardial infarct size and optimizing cardiac function following acute myocardial infarction (AMI). Patients with AMI who underwent reperfusion therapy display dysfunction of the coronary endothelium. Consequently, ischemic endothelial cells become more permeable and weaken their natural anti-thrombotic and anti-inflammatory potential. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191189PMC
August 2018
1 Read

Impact of Insulin Resistance on Acetylcholine-Induced Coronary Artery Spasm in Non-Diabetic Patients.

Yonsei Med J 2018 Nov;59(9):1057-1063

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.

Purpose: Coronary artery spasm (CAS) and diabetes mellitus (DM) are implicated in endothelial dysfunction, and insulin resistance (IR) is a major etiological cause of type 2 DM. However, the association between CAS and IR in non-diabetic individuals has not been elucidated. The aim of the present study was to evaluate the impact of IR on CAS in patients without DM. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3349/ymj.2018.59.9.1057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192881PMC
November 2018
1 Read

Fasudil, a Rho-Kinase Inhibitor, Exerts Cardioprotective Function in Animal Models of Myocardial Ischemia/Reperfusion Injury: A Meta-Analysis and Review of Preclinical Evidence and Possible Mechanisms.

Front Pharmacol 2018 1;9:1083. Epub 2018 Oct 1.

Department of Internal Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Fasudil, a Rho-kinase inhibitor, has shown outstanding therapeutic effects against cerebral vasospasm after subarachnoid hemorrhage (SAH) in humans. Studies show various biological effects of fasudil in the cardiovascular system. We conducted a preclinical systematic review to determine the efficacy and possible mechanisms of fasudil on animal models of myocardial ischemia/reperfusion (I/R) injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fphar.2018.01083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174418PMC
October 2018
2 Reads

Phase I/II study of everolimus combined with mFOLFOX-6 and bevacizumab for first-line treatment of metastatic colorectal cancer.

Invest New Drugs 2018 Oct 10. Epub 2018 Oct 10.

Division Clinical Sciences, Translational Genomics Research Institute (TGen), Phoenix, AZ, USA.

Background This phase I/II trial evaluated toxicity and antitumor activity of everolimus plus mFOLFOX6 + bevacizumab for first-line treatment of metastatic colorectal cancer (mCRC). Methods A phase I, modified 3 + 3 Fibonacci schema determined the maximum tolerated dose (MTD) of everolimus, followed by phase II dose expansion. The phase II primary objective was progression-free survival at 6 months (PFS-6 m). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10637-018-0645-2DOI Listing
October 2018
1 Read
2.920 Impact Factor

Evaluation and medical therapy for coronary endothelial dysfunction induced by sirolimus-eluting stent in patient with an atherosclerotic lesion of the left main coronary artery: Case report.

J Cardiol Cases 2017 Dec 22;16(6):189-193. Epub 2017 Sep 22.

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan.

Sirolimus-eluting stents (SES), especially those deployed at distal sites, cause more coronary vasospasm and endothelial dysfunction in the chronic phase compared to bare-metal stents (BMS). In comparison, endothelial dysfunction is less frequently induced by the Biolimus-A9 eluting stent (BES). A 75-year-old man with effort-induced angina pectoris previously underwent a total of three SES implantations in the left anterior descending coronary artery (LAD) and right coronary artery (RCA) in 2010 and 2011. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2017.08.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149632PMC
December 2017
2 Reads

Identification of Coronary Vasospasm as a Cause of Recurrent Acute Coronary Syndrome.

J Invasive Cardiol 2018 Oct;30(10):E100

Heart Center Leipzig - University Hospital, Struempellstrasse 39, 04289 Leipzig, Germany.

A case highlighting the importance of nitrate administration, as routinely performed during coronary arteriography. Read More

View Article

Download full-text PDF

Source
October 2018
6 Reads

[Coronary spasm a diagnostic and therapeutic challenge].

Presse Med 2018 Sep 21;47(9):798-803. Epub 2018 Sep 21.

Institut Jacques-Cartier, groupe Ramsay, 6, avenue du Noyer-Lambert, 91300 Massy, France.

Vasospastic angina is a clinical and physio-pathological entity, which has been documented for many years, but its diagnosis is under-estimated despite the fact that though inadequately considered and investigated. This condition is potentially serious and can sometimes trigger severe arrhythmia resulting in ventricular fibrillation and sudden death. This pathology has a higher incidence in Asia, where it is, therefore, better documented with provocative testing being carried out more frequently, while in France, these tests are not sufficiently performed probably due to the fact that they often produce negative findings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.lpm.2018.08.004DOI Listing
September 2018
1 Read
1.173 Impact Factor

Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina and Its Prognostic Implications in 3,094 Consecutive Patients.

Korean Circ J 2018 Oct;48(10):906-916

Division of Cardiology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Background And Objectives: Ergonovine stress echocardiography (ErgECHO) has been proposed as a noninvasive tool for the diagnosis of coronary vasospasm. However, concern over the safety of ErgECHO remains. This study was undertaken to investigate the safety and prognostic value of ErgECHO in a large population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4070/kcj.2017.0395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158448PMC
October 2018
1 Read

Catecholamine-Induced Cardiomyopathy in Pheochromocytoma: How to Manage a Rare Complication in a Rare Disease?

Horm Metab Res 2018 Sep 18. Epub 2018 Sep 18.

Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.

Pheochromocytomas and paragangliomas (PHEOs) are rare neuroendocrine tumors. Clinical manifestations include different cardiovascular signs and symptoms, which are related to excessive secretion of catecholamines. Catecholamine-induced cardiomyopathy in PHEO (CICMPP) is a rare but dreaded complication of PHEO. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0669-9556
Publisher Site
http://dx.doi.org/10.1055/a-0669-9556DOI Listing
September 2018
4 Reads

Vasospastic angina: A literature review of current evidence.

Arch Cardiovasc Dis 2018 Sep 6. Epub 2018 Sep 6.

Cardiology department, hôpital Cochin, AP-HP, 75014 Paris, France; Faculté de médecine, université Paris Descartes, 75006 Paris, France.

Vasospastic angina (VSA) is a variant form of angina pectoris, in which angina occurs at rest, with transient electrocardiogram modifications and preserved exercise capacity. VSA can be involved in many clinical scenarios, such as stable angina, sudden cardiac death, acute coronary syndrome, arrhythmia or syncope. Coronary vasospasm is a heterogeneous phenomenon that can occur in patients with or without coronary atherosclerosis, can be focal or diffuse, and can affect epicardial or microvasculature coronary arteries. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18752136183013
Publisher Site
http://dx.doi.org/10.1016/j.acvd.2018.08.002DOI Listing
September 2018
18 Reads

ST segment elevation myocardial infarction with normal coronary arteries.

Heart Asia 2018 17;10(2):e011084. Epub 2018 Aug 17.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Case Presentation: A middle-aged patient presented to the emergency department with intermittent chest pain of 4-hour duration. The patient had been recently diagnosed with metastatic adenocarcinoma of the colon and was receiving 5-fluorouracil (5-FU)-based chemotherapy at the time of presentation. The ECG at presentation showed 1 mm ST segment elevation in leads II, III and aVF, with reciprocal changes in leads aVL, V1 and V2 (figure 1A). Read More

View Article

Download full-text PDF

Source
http://heartasia.bmj.com/lookup/doi/10.1136/heartasia-2018-0
Publisher Site
http://dx.doi.org/10.1136/heartasia-2018-011084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109945PMC
August 2018
19 Reads

Fistulae ligation and left main artery ligation for a bilateral giant coronary arterial fistulae-related aneurysm.

Eur J Cardiothorac Surg 2018 Aug 27. Epub 2018 Aug 27.

Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.

Bilateral congenital coronary artery fistulae complicated with a giant coronary artery aneurysm is a very rare condition. A coronary artery aneurysm is a coronary artery dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
Publisher Site
http://dx.doi.org/10.1093/ejcts/ezy287DOI Listing
August 2018
7 Reads
3.304 Impact Factor

Systemic microvascular dysfunction in microvascular and vasospastic angina.

Eur Heart J 2018 Dec;39(46):4086-4097

West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, GJNH, Agamemnon St, Glasgow, UK.

Aims: Coronary microvascular dysfunction and/or vasospasm are potential causes of ischaemia in patients with no obstructive coronary artery disease (INOCA). We tested the hypothesis that these patients also have functional abnormalities in peripheral small arteries.

Methods And Results: Patients were prospectively enrolled and categorised as having microvascular angina (MVA), vasospastic angina (VSA) or normal control based on invasive coronary artery function tests incorporating probes of endothelial and endothelial-independent function (acetylcholine and adenosine). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/eurheartj/ehy529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284165PMC
December 2018
1 Read

Coronary Artery Vasospasm.

Authors:
Jae Kwan Song

Korean Circ J 2018 Sep;48(9):767-777

Department of Cardiology, Asan Medical Center Heart Institute, University of Ulsan College of Medicine, Seoul, Korea.

Coronary artery vasospasm (CVS) is an important mechanism of myocardial ischemia and produces any of the manifestations of coronary artery disease from silent myocardial ischemia, to effort-induced angina and variant angina, to acute coronary syndrome including myocardial infarction or sudden cardiac death. The pathogenesis, characteristic clinical features, diagnosis, and treatment of CVS are summarized. Emphasis is placed on correct diagnosis of CVS using pharmacological spasm provocation test, either during coronary angiography or with echocardiographic monitoring of ventricular wall motion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4070/kcj.2018.0251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110699PMC
September 2018
1 Read

Coronary vasospasm and early repolarisation syndrome: a malignant combination.

Intern Med J 2018 08;48(8):1006-1007

Department of Cardiology, Royal Perth Hospital, Perth, Western Australia, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/imj.13982DOI Listing

Acute Coronary Syndrome Management in Cancer Patients.

Curr Oncol Rep 2018 Aug 22;20(10):78. Epub 2018 Aug 22.

Florida Hospital, Pepin Heart Institute, 3100 E Fletcher Ave, Tampa, FL, 33613, USA.

Purpose Of Review: Coronary artery disease and cancer often co-exist. Patients with cancer have been excluded by most major cardiology trials and registries and their management remains largely empiric. Cancer patients experience an approximately 10-times increased mortality compared to the general population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11912-018-0724-8DOI Listing
August 2018
2 Reads

Ventricular Fibrillation Induced by Coronary Vasospasm in a Patient with Early Repolarization and Hyperthyroidism.

Intern Med 2018 Dec 10;57(23):3389-3392. Epub 2018 Aug 10.

Tokyo Medical and Dental University, Japan.

Vasospastic angina (VSA) has been recognized as a cause of ventricular fibrillation (VF) degenerating into sudden cardiac death. We experienced a case of VSA with hyperthyroidism in which VF was provoked with an augmented J-wave amplitude in the inferior leads. The patient underwent insertion of an implantable cardioverter-defibrillator for the secondary prevention of VF in addition to taking Ca-channel antagonists. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2169/internalmedicine.1104-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306529PMC
December 2018
10 Reads

Misconceptions and Facts About Takotsubo Syndrome.

Am J Med 2019 Jan 3;132(1):25-31. Epub 2018 Aug 3.

Director of Education, Research and Development, Royal Brompton & Harefield Hospital Trust and Imperial College London, UK.

Takotsubo syndrome, initially described in the 1990s by Sato, has been increasingly recognized around the world. Pathophysiology is directed towards central role of catecholamine surge , but other aspects like microvascular endothelial dysfunction and vasospasm have also been described. Dyspnea and chest pain are most common manifestations, but syncope can also be seen. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjmed.2018.07.007DOI Listing
January 2019
1 Read

Relief of vasospasm with fasudil after off-pump coronary artery bypass grafting: a case study.

Surg Case Rep 2018 Jul 27;4(1):82. Epub 2018 Jul 27.

Department of Surgery and Clinical Science, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.

Background: Coronary vasospasm after coronary artery bypass grafting (CABG) is a rare but potentially lethal complication. It is often refractory to several vasodilators. We report a case of refractory coronary vasospasm relieved by fasudil injection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-018-0481-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062643PMC
July 2018
5 Reads

Transient ST-segment elevation due to coronary slow flow during cryoballoon application.

Turk Kardiyol Dern Ars 2018 07;46(5):396-400

Department of Cardiology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.

This report is a description of a rare case of transient ST-segment elevation during cryoballoon application for paroxysmal atrial fibrillation (PAF). A 74-year-old male with symptomatic PAF was referred to the center for ablation. During cryoablation of the left superior pulmonary vein (188 seconds, -48°C), ST-segment elevation in the anterolateral leads was observed suddenly, though without any significant complaint. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5543/tkda.2017.95898DOI Listing

Intracoronary focal nitroglycerin injection through drilled balloon is very effective in the resolution of coronary spasm versus into proximal coronary artery: A prospective randomized comparison study.

J Interv Cardiol 2018 Dec 19;31(6):765-774. Epub 2018 Jul 19.

Medical School, Karadeniz Technical University, Trabzon, Turkey.

Background: In this study, we aimed to compare the effectiveness and safety of NTG administration via catheter and local NTG infusion through a perforated balloon in order to prevent coronary spasm from developing during percutaneous intervention.

Method: The study began with 1:1 randomization into two groups of a total of 1688 patients scheduled for PCT. A total of 91 patients in the proximal group who developed lesions received 500 mcg NTG through a catheter, while 85 patients in the local group with lesions developed during the procedure received 500 mcg local NTG through a perforated balloon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/joic.12542DOI Listing
December 2018
1 Read

Effect of intracoronary adenosine on ergonovine-induced vasoconstricted coronary arteries.

Cardiol J 2018 Jul 16. Epub 2018 Jul 16.

Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, 49241 Busan, Korea, Republic Of.

Background: This study aimed to evaluate the effect of adenosine on epicardial coronary artery diameter during ergonovine provocation testing.

Methods: A total of 158 patients who underwent an ergonovine provocation test with intracoronary adenosine injection between 2011 and 2014 were selected. Patients were divided into four groups based on the severity of percent diameter stenosis following intracoronary ergonovine administration: Group 1, induced spasm < 50%; Group 2, 50-89%; Group 3, 90-99%; and Group 4, total occlusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5603/CJ.a2018.0072DOI Listing
July 2018
3 Reads

5-fluorouracil and cardiotoxicity: a review.

Ther Adv Med Oncol 2018 18;10:1758835918780140. Epub 2018 Jun 18.

Department of Medical Oncology, Mayo College of Medicine, Rochester, MN, USA.

Fluoropyrimidines such as 5-fluorouracil (5-FU) form the foundation of a wide variety of chemotherapy regimens. 5-FU is in fact the third most commonly used chemotherapeutic agent in the treatment of solid malignancies across the world. As with all chemotherapy, balancing the potential benefits of therapy against the risks of drug-related toxicity is crucial when clinicians and patients make shared decisions about treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758835918780140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024329PMC
June 2018
17 Reads

Takotsubo syndrome and coronary vasospasm: Two faces of the same coin?

Indian Heart J 2018 May - Jun;70(3):455-458. Epub 2018 Apr 10.

Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ihj.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034106PMC
April 2018
1 Read

Chest Pain During Chemotherapy: A Case of Severe Myocardial Bridging.

J Invasive Cardiol 2018 Jul;30(7):E61

Beth Israel Deaconess Medical Center, 148 Chestnut Street, Needham, MA 02492 USA.

A cancer patient presented with acute chest pain at rest 40 hours after IV fluorouracil infusion. Angiography showed evidence of myocardial bridging. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247798PMC
July 2018
23 Reads

Vasospastic Angina and its Relationship with the Coronary Microcirculation.

Curr Pharm Des 2018 ;24(25):2906-2910

Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Vasospastic angina is an important cause of chest pain due to coronary artery vasospasm that is related to poor quality of life and can lead to myocardial infarction, arrhythmias and death. Since its first description as "Prinzmetal or variant angina" which was believed to be a focal spam that occurred in non-obstructed epicardial coronary arteries, physician and researchers were gradually confronted with the clinical reality and came to the conclusion that the coronary artery vasospasm was considerably more polymorphic than initially described. Although mechanism leading to vasospastic angina is not completely understood, nowadays the medical community acknowledges that it exhibits a large variability in clinical practice ranging from focal to diffuse epicardial vasospasm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1381612824666180625150833DOI Listing
January 2018
1 Read

Acute Coronary Syndrome in Cancer Patients.

Am J Cardiovasc Drugs 2018 Jun 22. Epub 2018 Jun 22.

Department of Cardiology, Memorial Ankara Hospital, Mevlana Boulevard number 4, Balgat, Ankara, Turkey.

Cardiologists are seeing an increasing number of oncology patients every day, and acute coronary syndrome (ACS) is one of the problems patients encounter during follow-up. Cardio-oncology is the care of patients with cancer and cardiovascular disease, whether overt or occult, already established or acquired during treatment. Cardiovascular complications can occur acutely during or shortly after treatment and persist as long-term effects for months to years after treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40256-018-0286-zDOI Listing
June 2018
9 Reads

Coronary Vasospasm After Burn Injury: First Described Case Series of a Lethal Lesion.

J Burn Care Res 2018 Oct;39(6):1053-1057

Department of Surgery, Eskenazi Hospital, Indiana University School of Medicine, Indianapolis, Indiana.

Burn injuries generate multisystem physiological derangements. The authors present a case series of three patients developing acute coronary syndrome (ACS) stemming from coronary vasospasm (CVS) over a course of 5 months. This etiology of ACS is significant as it has previously not been described in burn patients and requires a different management algorithm than vaso-occlusive disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jbcr/irx032DOI Listing
October 2018
2 Reads

Clinical efficacy of aspirin with identification of intimal morphology by optical coherence tomography in preventing event recurrence in patients with vasospasm-induced acute coronary syndrome.

Int J Cardiovasc Imaging 2018 Jun 19. Epub 2018 Jun 19.

Department of Cardiology, Hanyang University Seoul Hospital, Hanyang University, College of Medicine, Seoul, South Korea.

Using optical coherence tomography (OCT), we found that there were morphological differences in the coronary intima between patients with vasospasm-induced acute coronary syndrome (VACS) and those with stable variant angina. We investigated whether aspirin use would protect against chest pain recurrence in patients with VACS. A retrospective cohort study was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10554-018-1399-9DOI Listing
June 2018
5 Reads

Acute myocardial infarction in young women: current perspectives.

Int J Womens Health 2018 7;10:267-284. Epub 2018 Jun 7.

Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY.

Acute myocardial infarction (AMI) is the leading cause of death in women worldwide. Every year, in the USA alone, more than 30,000 young women <55 years of age are hospitalized with AMI. In recent decades, the incidence of AMI is increasing in younger women in the context of increasing metabolic syndrome, diabetes mellitus, and non-traditional risk factors such as stress, anxiety, and depression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/IJWH.S107371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995294PMC
June 2018
16 Reads

Outcomes of beta blocker use in cocaine-associated chest pain: a meta-analysis.

Emerg Med J 2018 Sep 19;35(9):559-563. Epub 2018 Jun 19.

Department of Medicine, Division of Cardiovascular Medicine, Baylor College of Medicine, Houston, Texas, USA.

Objectives: Beta blockers (β-blockers) remain a standard therapy in the early treatment of acute coronary syndromes. However, β-blocker therapy in patients with cocaine-associated chest pain (CACP) continues to be an area of debate due to the potential risk of unopposed α-adrenergic stimulation and coronary vasospasm. Therefore, we performed a systematic review and meta-analysis of available studies to compare outcomes of β-blocker versus no β-blocker use among patients with CACP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/emermed-2017-207065DOI Listing
September 2018
26 Reads

Unusual Presentation of Spontaneous Coronary Artery Dissection in an Older Male.

Cardiol Res 2018 Jun 6;9(3):191-194. Epub 2018 Jun 6.

Department of Cardiology, St Mary Medical Center, Long Beach, CA 90813, USA.

Spontaneous coronary artery dissection (SCAD) is a variant of acute coronary syndrome (ACS) that is poorly understood. SCAD has been linked to fibromuscular dysplasia (FMD), connective tissue disease (CTD), pregnancy and hormonal imbalance, systemic inflammatory conditions (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14740/cr717wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997434PMC
June 2018
14 Reads