ST-segment elevation myocardial infarction with refractory cardiogenic shock due to coronary spasm: a case report.

ABSTRACT:

Background

Acute coronary syndrome (ACS) is primarily due to obstructive coronary artery disease (CAD). Nevertheless, in 1-14% of cases, ACS is present without evidence of obstructive CAD. Coronary artery spasm is an uncommon cause of ACS. Diagnostic work-up includes acute invasive coronary angiography and afterwards provocation testing. The optimal patient management is for patients presenting with cardiogenic shock due to ACS caused by coronary artery spasm is unclear.

Case summary

A 67-year-old Caucasian, who underwent elective revision of hip arthroplasty, presented with ST elevations with circulatory collapse, leading to resuscitation due to anaesthesia induction. Extracorporeal membrane oxygenation (ECMO) implantation led to restoration of spontaneous circulation. Coro

SUBMITTER: Renziehausen S 

PROVIDER: S-EPMC11462448 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature