Vasopressor-Induced Generalized Coronary Vasospasm Presenting as Inferior ST-Segment Elevation in Post-Cardiopulmonary Resuscitation

Vasopressor-Induced Generalized Coronary Vasospasm Presenting as Inferior ST-Segment Elevation in Post-Cardiopulmonary Resuscitation

ST-segment elevation in post-return of spontaneous circulation after cardiac arrest is a major concern for underlying acute coronary syndrome. This case report presents a rare case of vasopressor-induced coronary vasospasm as an underlying cause for this ST-segment elevation with complete reversal o...

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Bibliographic Details
Main Authors: Ahmed Elkaryoni, MD, Dushyant Ramakrishnan, MD, Islam Abdelkarim, MD, Anas Noman, MD, Mohammed Qintar, MD, Paramdeep Baweja, MD
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:JACC: Case Reports
Subjects:
cardiac arrest
coronary vasospasm
return of spontaneous circulation
ST-segment elevation myocardial infarction
vasopressor
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919300920
Description
Summary:ST-segment elevation in post-return of spontaneous circulation after cardiac arrest is a major concern for underlying acute coronary syndrome. This case report presents a rare case of vasopressor-induced coronary vasospasm as an underlying cause for this ST-segment elevation with complete reversal of EKG changes after reducing the vasopressor dose. (Level of Difficulty: Beginner.)
ISSN:2666-0849

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