Severe multivessel coronary vasospasm in a patient with coronavirus disease 2019

Mai Azuma; Shingo Kato; Kota Murohashi; Kazuki Fukui; Daisuke Utsunomiya; Hideya Kitamura; Eri Hagiwara; Takashi Ogura

doi:10.1016/j.jccase.2023.05.010

Severe multivessel coronary vasospasm in a patient with coronavirus disease 2019

J Cardiol Cases. 2023 May 24;28(4):147-149. doi: 10.1016/j.jccase.2023.05.010. Online ahead of print.

Authors

Mai Azuma¹, Shingo Kato^{1

2}, Kota Murohashi³, Kazuki Fukui¹, Daisuke Utsunomiya², Hideya Kitamura³, Eri Hagiwara³, Takashi Ogura³

Affiliations

¹ Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
² Department of Diagnostic Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
³ Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.

Abstract

We present the case of a 65-year-old male with multivessel coronary spasm presumably related to coronavirus disease 2019 (COVID-19). Acetylcholine coronary angiogram and cardiac magnetic resonance imaging were used for the diagnosis. As the precise pathophysiology of myocardial injury by COVID-19 remains unclear, the multimodality approach may contribute to the accurate diagnosis.

Learning objective: Myocardial involvement by severe acute respiratory syndrome coronavirus 2 infection is related to various pathologies. It is important to evaluate the degrees of cardiac damage and make a diagnosis by multimodality imaging especially with cardiac magnetic resonance.

Keywords: Acetylcholine; Coronary angiogram; Coronary spasm; Coronavirus disease 2019; Magnetic resonance imaging.

Publication types

Case Reports