Severe coronary spasm in a COVID-19 patient #MMPMID32738164
Rivero F; Antuna P; Cuesta J; Alfonso F
Catheter Cardiovasc Interv 2021[Apr]; 97 (5): E670-E672 PMID32738164show ga
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.