Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Department of Cardiology, Al-Ahli Hospital, Hebron, Palestine, Affiliated to Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ann Noninvasive Electrocardiol. 2024 Nov;29(6):e70019. doi: 10.1111/anec.70019.
Coronary artery spasms (CAS) can manifest in various forms, from silent ischemia to severe cardiac events like myocardial infarction and sudden death. This case involves a 56-year-old male with recurrent ischemic chest pain and varying ECG signs. Cardiac catheterization revealed multiple coronary spasms that resolved spontaneously or with intracoronary nitroglycerin. The report emphasizes the severe presentations of multiple CAS and the importance of thorough diagnostic evaluation to avoid unnecessary interventions, highlighting the diagnostic challenges in managing such cases.
冠状动脉痉挛（CAS）可表现为多种形式，从无症状性缺血到心肌梗死和猝死等严重心脏事件。本病例涉及一名 56 岁男性，反复出现缺血性胸痛，伴有不同的心电图表现。冠状动脉造影显示多处冠状动脉痉挛，可自发缓解或经冠状动脉内给予硝酸甘油缓解。该报告强调了多处 CAS 的严重表现，以及彻底诊断评估的重要性，以避免不必要的介入治疗，突出了此类病例管理中的诊断挑战。
