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Title

Coronary artery spasm -- one medical entity with different treatment options.

Authors

Zdravković, Vladimir; Vučić, Rada; Srećković, Miodrag; Simić, Ivan; Mitrović, Vojislav; Dinčić, Dragan; Knežević, Slavko; Zdravković, Nemanja

Abstract

Introduction. Myocardial infarction (MI) is characterized by a critical myocardial ischemia followed by an irreversible myocardial cell damage or death. Case report. We presented two similar clinical cases with the ST segment elevation myocardial infarction (STEMI) diagnosis due to a prolonged coronary artery spasm, but with different treatment options due to different basic patophysiological supstrates and clinical presentations. Conclusion. Coronary artery spasm is a very complex pathophysiological entity with a different medication therapy management. Although the percutaneous coronary intervention can be the first choice, the treatment strategy should be carefully planned.

Subjects

CORONARY disease; SPASM treatment; ACUTE coronary syndrome; CORONARY angiography; ELECTROCARDIOGRAPHY

Publication

Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2018, Vol 75, Issue 9, p944

ISSN

0042-8450

Publication type

Academic Journal

DOI

10.2298/VSP160405385Z

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