Severe coronary spasm in a COVID‐19 patient
Fernando Rivero, Paula Antuña, Javier Cuesta, Fernándo Alfonso
Abstract
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.
Topics & Concepts
MedicineCoronary vasospasmCardiologyInternal medicineCoronavirus disease 2019 (COVID-19)Acute coronary syndromeVasospasmPathophysiologySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Coronary arteriesST elevation2019-20 coronavirus outbreakElectrocardiographyCoronary angiographyArterySubarachnoid hemorrhageDiseaseMyocardial infarctionPathologyInfectious disease (medical specialty)OutbreakCardiovascular Effects of ExerciseCOVID-19 Clinical Research StudiesCardiac electrophysiology and arrhythmias