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coronary artery vasospasm

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coronary artery vasospasm
Acute coronary insufficiency, anterior chest wall syndrome, coronary artery spasm, coronary vasoconstriction, Prinzmetal's angina, variant angina, vasospastic angina Cardiology A condition characterized by sudden and usually transient vasoconstriction of a coronary artery with ↓ myocardial O2 Clinical Severe, crushing, chest pain at rest and ST segment deviation Precipitating factors Emotional stress, medications, street drugs–cocaine, cold exposure, stress, vasoconstrictors Diagnosis Normal angiogram, ST segment ↑ EKG ST segment deviation–usually ↑ without preceding ↑ in heart rate or BP Management Nitrates, nifedipine or diltiazem with aspirin; slow CCBs–eg, verapamil, may contribute to AV block. Cf Angina pectoris.


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Myocardial infarcts, for example, are frequently precipitated by a combination of coronary artery vasospasm (which can be induced by very small doses of cocaine), increased myocardial work load, and coronary thrombosis.
Therefore, I hypothesize that the ECT-induced seizure that this patient experienced resulted in significant autonomic dysfunction, producing coronary artery vasospasm and subsequent myocardial ischemia.
Migranal Nasal Spray should not be given to patients with ischemic heart disease (angina pectoris, history of myocardial infarction, or documented silent ischemia) or to patients who have clinical symptoms or findings consistent with coronary artery vasospasm, including Prinzmetal's variant angina.
 
 
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Coronary Artery Disease in Saudis
Coronary Artery Disease, Autosomal Dominant
Coronary Artery Dissection
coronary artery fistula
coronary artery laceration
coronary artery laceration
coronary artery laceration
Coronary Artery Ligated and Reperfused Rat
Coronary Artery Obstructive Disease
Coronary Artery Restenosis Prevention on Repeated Thromboxane
Coronary Artery Revascularisation Prophylaxis
Coronary Artery Revascularisation Prophylaxis
Coronary Artery Revascularisation Prophylaxis
Coronary Artery Revascularisation Prophylaxis
Coronary Artery Risk Detection in Appalachian Communities
Coronary Artery Risk Development in Adults Study
Coronary Artery Risk Development in Young Adults
Coronary Artery Risk Evaluation
coronary artery rupture
coronary artery rupture
coronary artery rupture
coronary artery scan
coronary artery scan
coronary artery scan
Coronary Artery Smoking Intervention Study
Coronary Artery Smooth Muscle Cell
Coronary Artery Surgery Study
Coronary Artery to Pulmonary Artery Fistula
Coronary Artery Tunneling
coronary artery vasospasm
coronary artery, left
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coronary artery, left anterior descending
coronary artery, left anterior descending
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coronary artery, posterior descending
coronary artery, posterior descending
coronary artery, posterior descending
coronary artery, posterior descending
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coronary artery, right
coronary artery, right
coronary artery, right
Coronary Atherosclerotic Heart Disease
Coronary Atherothrombotic Disease
coronary band
coronary band
coronary band
Coronary Blood Flow
Coronary Blood Flow Reserve
Coronary Blood Flow Velocity Reserve
coronary blood vessel
coronary blood vessel
coronary blood vessel
Coronary blood vessels
Coronary bone
Coronary Bridge
 
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