Severe coronary spasm in a COVID-19 patient |
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| Authors: | Fernando Rivero MD Paula Antuña MD Javier Cuesta MD Fernando Alfonso MD PhD |
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| Affiliation: | Department of Cardiology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria, IIS-IP, CIBER-CV, Madrid, Spain |
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| Abstract: | Myocardial injury is frequently detected in coronavirus disease 2019 (COVID-19) patients. However, up to one-third of COVID-19 patients showing ST-segment elevation on the electrocardiogram have angiographically normal coronary arteries. We present a case of an acute coronary syndrome due to a coronary spasm in a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patient. This pathophysiological mechanism was clearly demonstrated by intracoronary imaging techniques (optical coherence tomography) and invasive vasospasm test. |
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| Keywords: | AMI - Acute myocardial infarction CAD - Coronary Artery Disease |
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