Severe coronary spasm in a COVID-19 patient.
Fernando Rivero-CrespoPaula AntuñaJavier CuestaFernando AlfonsoPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Myocardial injury is frequently detected in coronavirus disease 2019 (COVID-19) patients. However, up to one-third of COVID-19 patients showing ST-segment elevation on the electrocardiogram have angiographically normal coronary arteries. We present a case of an acute coronary syndrome due to a coronary spasm in a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patient. This pathophysiological mechanism was clearly demonstrated by intracoronary imaging techniques (optical coherence tomography) and invasive vasospasm test.
Keyphrases
- sars cov
- respiratory syndrome coronavirus
- coronavirus disease
- coronary artery disease
- coronary artery
- acute coronary syndrome
- case report
- optical coherence tomography
- percutaneous coronary intervention
- aortic stenosis
- subarachnoid hemorrhage
- early onset
- diabetic retinopathy
- transcatheter aortic valve replacement
- fluorescence imaging
- aortic valve