Malignant Multi-Vessel Coronary Artery Spasm; A Rare Cause of Myocardial Infarction Leading to Cardiogenic Shock – A Case Report

Abstract

Malignant multi-vessel coronary vasospasm is a rare life threatening condition, presentation like myocardial infarction (MI), arrhythmias, and cardiogenic shock (CS). We report a case of IWMI complicated by CS, angiogram shows diffuse multi-vessel coronary artery spasm. Intracoronary nitroglycerine showing improving spasm in culprit vessel RCA and distal RCA stented with excellent result. This case of early diagnosis of coronary artery spasm to prevent the occurrence of MI, arrhythmias and sudden cardiac death as it is one the rare cause. It also highlighted the role of intracoronary nitroglycerine in relieving diffuse multi-vessel vasospasm in hemodynamically unstable patient.