A young adult presenting with ST elevation myocardial infarction
due to a persistent spasm of proximal left descending artery: An
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Benahmed I, Laachach H, Ismaili N, N. El-Ouafi N
Coronary Artery Vasospasm (CVS) is an important mechanism of
myocardial ischemia and produces any of the manifestations of coronary
artery disease from silent myocardial ischemia, to effort-induced angina and
variant angina, to acute coronary syndrome including myocardial infarction
or sudden cardiac death. We report a case of a 28-year-old-patient, smoker,
who presented with ST segment myocardial infarction (STEMI). Coronary
angiography revealed a persistent spasm in proximal segment of left
descending artery resolved after injecting intracoronary nitroglycerine. Intra
and extra-hospital outcome were favorable.
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