Coronary stenting for coronary vasospasm refractory to medical therapy

Catheter Cardiovasc Interv. 2007 Sep;70(3):379-82. doi: 10.1002/ccd.21144.

Abstract

We describe the case of a 54-year-old male with recurrent chest pain, ST segment elevation, and bradycardia. Coronary vasospasm was confirmed by acetylcholine challenge. After failing medical therapy, stenting of an extensive segment of the right coronary artery has been clinically successful after 24-months follow-up.

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Calcium Channels / therapeutic use
  • Coronary Angiography
  • Coronary Vasospasm / diagnostic imaging
  • Coronary Vasospasm / drug therapy
  • Coronary Vasospasm / surgery*
  • Delayed-Action Preparations
  • Diltiazem / therapeutic use*
  • Electrocardiography
  • Follow-Up Studies
  • Humans
  • Isosorbide Dinitrate / analogs & derivatives*
  • Isosorbide Dinitrate / therapeutic use
  • Male
  • Middle Aged
  • Myocardial Revascularization / methods*
  • Stents*
  • Vasodilator Agents / therapeutic use

Substances

  • Calcium Channels
  • Delayed-Action Preparations
  • Vasodilator Agents
  • Diltiazem
  • Isosorbide Dinitrate
  • isosorbide-5-mononitrate