Asymptomatic Coronary Spasm Due to Polytraumatism

Aguilera, Maria; Tamayo, John Fernando Restrepo; Rivero, Fernando; Bastante, Teresa; Aguilar, Río; Alfonso, Fernándo

doi:10.5935/abc.20170093

Cited by 1 publication

(2 citation statements)

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“…Other documented cardiac complications of trauma include arrhythmias, coronary dissection, valvular rupture and ventricular rupture. Among these complications, coronary vasospasm has been the least common with only one other reported case of polytrauma induced coronary vasospasm [1]. Similar to the case entitled Asymptomatic Coronary Spasm due to Polytraumatism [1]; our patient had transient ST elevations secondary to coronary spasm with resolution by nitroglycerin and coronary angiography with minimum coronary arthrosclerosis.…”

Section: Discussionsupporting

confidence: 70%

“…Among these complications, coronary vasospasm has been the least common with only one other reported case of polytrauma induced coronary vasospasm [1]. Similar to the case entitled Asymptomatic Coronary Spasm due to Polytraumatism [1]; our patient had transient ST elevations secondary to coronary spasm with resolution by nitroglycerin and coronary angiography with minimum coronary arthrosclerosis. In contrast, our patient required prolonged use of intravenous nitroglycerin drip combined with oral calcium channel blockers.…”

Section: Discussionsupporting

confidence: 70%

See 1 more Smart Citation

Spontaneous coronary vasospasm due to polytrauma

Huynh

Trilesskaya

2019

Trauma Case Reports

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Coronary vasospasm is characterized by focal or diffuse spasm of an epicardial coronary artery. Definitive diagnosis is usually made with coronary angiography, when resolution of stenosis is observed after administration of intracoronary vasodilators. Coronary vasospasm is rarely a consequence of a blunt force injury to the chest. Among trauma induced cardiac complications, coronary vasospasm has been the least common with only one other reported case of coronary vasospasm induced by trauma. We report a rare case of severe spontaneous coronary vasospasm in a patient with polytrauma successfully treated with intracoronary, intravenous and oral vasodilator therapy. The mechanism is thought to be due to compensatory catecholamine response to trauma, and coronary vasospasm should be strongly suspected in trauma patients with unexplained hypotension, new conduction abnormalities or evidence of ischemia on the ECG.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 70%