A Rare Case of Cardiogenic Shock following Severe Multivessel Coronary Vasospasm

• Main Authors: Reza Rahmani, Amirfarhangh Zand Parsa, Alborz Sherafati, Roozbeh Kowsari, Vahid Mohammadi, Rizan Mohammadi
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2019-01-01
• Series: Journal of Tehran University Heart Center
• Subjects: Angina pectoris, variant; Coronary vasospasm; Shock; cardiogenic
• Online Access: https://jthc.tums.ac.ir/index.php/jthc/article/view/732

Prinzmetal’s angina occurs following spasms in a single or multiple vascular beds, resulting in a typical chest pain and an ST-segment elevation in electrocardiography (ECG). It can lead to life-threatening arrhythmias and sudden cardiac death. We describe a 37-year-old woman who was admitted with a typical chest pain and hypotension. Her initial ECG showed an ST-segment elevation in the inferior and precordial leads. She was transferred to the catheterization unit, where coronary angiography illustrated multivessel spasms. The spasms were relieved with a nitroglycerin injection. She was discharged with stable hemodynamics 7 days later, and at 1 month’s follow-up, no recurrent attack was detected.