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Severe coronary spasm in a COVID-19 patient.


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.

SUBMITTER: Rivero F 

PROVIDER: S-EPMC7436676 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Severe coronary spasm in a COVID-19 patient.

Rivero Fernando F   Antuña Paula P   Cuesta Javier J   Alfonso Fernando F  

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 20200801 5


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 t  ...[more]

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