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A cataclasm due to spasm

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Abstract

We describe a 59-year-old patient presenting with ST-elevation acute coronary syndrome. Coronary angiography with intravascular ultrasound (IVUS) showed an important nonsignificant atherosclerotic lesion in the proximal left anterior descending artery (LAD) and presence of bridging in the mid-LAD. Our hypothesis was that focal spasm at this site was the cause of transmural ischaemia; therefore, treatment was given by performing a percutaneous coronary intervention (PCI) of the lesion. The patient remained symptom-free which confirmed our conclusion. The myocardial bridging had no clinical implications at this moment.

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References

  1. Cannon CP, Braunwald E. Braunwald’s Heart Disease 7th edition. Elsevier Saunders. 2005; 49: 1264–7.

  2. Saito S, Yamagishi M, Takayama T, et al. Plaque morphology at coronary sites with focal spasm in variant angina. Circ J. 2003;67:1041–5.

    Article  PubMed  Google Scholar 

  3. Tsujita K, Maehara A, Mintz GS, et al. Comparison of angiographic and intravascular ultrasonic detection of myocardial bridging of the left anterior descending coronary artery. Am J Cardiol. 2008;102:1608–13.

    Article  PubMed  Google Scholar 

  4. Möhlenkamp S, Hort W, Junbo G, et al. Update on myocardial bridging. Circulation. 2002;106:2616–22.

    Article  PubMed  Google Scholar 

  5. Ge J, Erbel HJ, Rupprecht HJ, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging. Circulation. 1994;89:1725–32.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands

    R. N. Denham & Y. E. Appelman

  2. Department of Cardiology, Kennemer Gasthuis, Boerhaavelaan 22, 2035 RC, Haarlem, the Netherlands

    G. J. E. Verdel

Authors
  1. R. N. Denham
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  2. Y. E. Appelman
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  3. G. J. E. Verdel
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Correspondence to R. N. Denham.

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Denham, R.N., Appelman, Y.E. & Verdel, G.J.E. A cataclasm due to spasm. Neth Heart J 21, 44–46 (2013). https://doi.org/10.1007/s12471-012-0328-0

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  • DOI: https://doi.org/10.1007/s12471-012-0328-0

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