ACUTE CORONARY SYNDROME DUE TO CORONARY VASOSPASM – CASE REPORT
https://doi.org/10.20996/1819-6446-2017-13-5-630-636
Abstract
Spasm of the coronary arteries is a dynamic narrowing of one or more coronary arteries, leading to significant restriction of the lumen. The leading role in coronary artery spasm diagnostic belongs to coronary angiography and its accompanying provocative tests. Mechanisms of coronary artery spasm development remain incompletely clarified and it's considered as a multifactorial disease with its own specific risk factors. Though pathophysiology is no longer a matter of dispute, further efforts should be aimed at the practical application of the recommendations. Diagnosis of the coronary artery spasm has important practical significance, due to the prevailing benefit of calcium antagonists in the treatment and absence of benefit from percutaneous coronary interventions in most cases. A clinical case of the patient with multivessel, multifocal coronary artery spasm is presented.
About the Authors
S. D. Klimovskiy
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation
Russian Federation
Semen D. Klimovskiy – MD, PhD, Head of the Department of X-ray surgical methods of diagnosis and treatment.
Lenskaya ul. 15, Moscow, 129327
G. G. Gazaryan
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation
Russian Federation
Georgy G. Gazaryan – MD, X-ray endovascular surgeon.
Lenskaya ul. 15, Moscow, 129327
M. D. Krichman
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation
Russian Federation
Mikhail D. Krichman – MD, X-ray endovascular surgeon.
Lenskaya ul. 15, Moscow, 129327
P. B. Pisetskiy
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation
Russian Federation
Pavel B. Pisetskiy – MD, X-ray endovascular surgeon.
Lenskaya ul. 15, Moscow, 129327
A. G. Koledinskiy
Peoples' Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
Anton G. Koledinskiy – MD, PhD, Chair of Cardiology, X-ray Endovascular and Hybrid Methods of Diagnosis and Treatment.
Miklukho-Maklaya ul. 6, Moscow, 117198
T. Sh. Mirilashvili
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation
Russian Federation
Temuri Sh. Mirilashvili – MD, PhD, Deputy Chief-Physician.
Lenskaya ul. 15, Moscow, 129327
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Review
For citations:
Klimovskiy S.D., Gazaryan G.G., Krichman M.D., Pisetskiy P.B., Koledinskiy A.G., Mirilashvili T.Sh. ACUTE CORONARY SYNDROME DUE TO CORONARY VASOSPASM – CASE REPORT. Rational Pharmacotherapy in Cardiology. 2017;13(5):630-636. (In Russ.) https://doi.org/10.20996/1819-6446-2017-13-5-630-636
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