Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation

Jamal J Ahmed; Deanna L Walborn; Traian M Anghel; Moeed R Chohan

doi:10.1016/j.jaccas.2022.03.005

Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation

JACC Case Rep. 2022 May 18;4(10):617-620. doi: 10.1016/j.jaccas.2022.03.005.

Authors

Jamal J Ahmed¹, Deanna L Walborn¹, Traian M Anghel¹, Moeed R Chohan¹

Affiliation

¹ State University of New York, Upstate Medical University, Syracuse, New York, USA.

Abstract

Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography revealed diffuse coronary spasm that was successfully treated with intracoronary nitroglycerin. (Level of Difficulty: Intermediate.).

Keywords: AF, atrial fibrillation; AV, atrioventricular; IV, intravenous; PVI, pulmonary vein isolation; RV, right ventricle; ST-segment elevation myocardial infarction; adenosine; atrial fibrillation; pulmonary vein isolation; vasospasm.

Publication types

Case Reports