A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage
Prinzmetal angina or vasospastic angina is a clinical phenomenon that is often transient and self-resolving. Clinically it is associated with ST elevations on the electrocardiogram, and initially it may be difficult to differentiate from an acute myocardial infarction. The vasospasm induced in this...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2013/641348 |
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| author | Michael Ruisi Phillip Ruisi Hugo Rosero Paul Schweitzer |
| author_facet | Michael Ruisi Phillip Ruisi Hugo Rosero Paul Schweitzer |
| author_sort | Michael Ruisi |
| collection | DOAJ |
| description | Prinzmetal angina or vasospastic angina is a clinical phenomenon that is often transient and self-resolving. Clinically it is associated with ST elevations on the electrocardiogram, and initially it may be difficult to differentiate from an acute myocardial infarction. The vasospasm induced in this setting occurs in normal or mildly to moderately diseased vessels and can be triggered by a number of etiologies including smoking, changes in autonomic activity, or drug ingestion. While the ischemia induced is usually transient, myocardial infarction and life-threatening arrhythmias can occur in 25% of cases. We present the case of a 65-year-old female where repetitive intermittent coronary vasospasm culminated in transmural infarction in the setting of gastrointestinal bleeding. This case highlights the mortality associated with prinzmetal angina and the importance of recognizing the underlying etiology. |
| format | Article |
| id | doaj-art-acca892e96564c349ba536eabce40782 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-acca892e96564c349ba536eabce407822025-02-03T01:22:29ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/641348641348A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal HemorrhageMichael Ruisi0Phillip Ruisi1Hugo Rosero2Paul Schweitzer3Beth Israel Medical Center, Albert Einstein College of Medicine, New York, NY, USARhode Island Hospital, Providence, RI, USABeth Israel Medical Center, Albert Einstein College of Medicine, New York, NY, USABeth Israel Medical Center, Albert Einstein College of Medicine, New York, NY, USAPrinzmetal angina or vasospastic angina is a clinical phenomenon that is often transient and self-resolving. Clinically it is associated with ST elevations on the electrocardiogram, and initially it may be difficult to differentiate from an acute myocardial infarction. The vasospasm induced in this setting occurs in normal or mildly to moderately diseased vessels and can be triggered by a number of etiologies including smoking, changes in autonomic activity, or drug ingestion. While the ischemia induced is usually transient, myocardial infarction and life-threatening arrhythmias can occur in 25% of cases. We present the case of a 65-year-old female where repetitive intermittent coronary vasospasm culminated in transmural infarction in the setting of gastrointestinal bleeding. This case highlights the mortality associated with prinzmetal angina and the importance of recognizing the underlying etiology.http://dx.doi.org/10.1155/2013/641348 |
| spellingShingle | Michael Ruisi Phillip Ruisi Hugo Rosero Paul Schweitzer A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage Case Reports in Cardiology |
| title | A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage |
| title_full | A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage |
| title_fullStr | A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage |
| title_full_unstemmed | A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage |
| title_short | A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage |
| title_sort | series of unfortunate events prinzmetal angina culminating in transmural infarction in the setting of acute gastrointestinal hemorrhage |
| url | http://dx.doi.org/10.1155/2013/641348 |
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