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ACUTE CORONARY SYNDROME DUE TO CORONARY VASOSPASM – CASE REPORT

https://doi.org/10.20996/1819-6446-2017-13-5-630-636

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Abstract

Spasm of the coronary arteries is a dynamic narrowing of one or more coronary arteries, leading to significant restriction of the lumen. The leading role in coronary  artery spasm diagnostic belongs to coronary  angiography and its accompanying provocative tests. Mechanisms of coronary  artery spasm development remain incompletely clarified and it's considered as a multifactorial disease with its own specific risk factors.  Though pathophysiology is no longer a matter of dispute, further  efforts should be aimed at the practical application of the recommendations. Diagnosis of the coronary  artery spasm  has important practical significance, due to the prevailing benefit of calcium antagonists in the treatment and absence of benefit from percutaneous coronary  interventions in most cases. A clinical case of the patient with multivessel, multifocal coronary  artery spasm is presented.

About the Authors

S. D. Klimovskiy
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation

Semen D. Klimovskiy – MD, PhD, Head of the Department of X-ray surgical methods of diagnosis and treatment.

Lenskaya ul. 15,  Moscow, 129327




G. G. Gazaryan
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation

Georgy G. Gazaryan – MD, X-ray endovascular surgeon.

Lenskaya ul. 15,  Moscow, 129327




M. D. Krichman
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation

Mikhail D. Krichman – MD, X-ray endovascular surgeon.

Lenskaya ul. 15,  Moscow, 129327




P. B. Pisetskiy
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation

Pavel B. Pisetskiy – MD, X-ray endovascular surgeon.

Lenskaya ul. 15,  Moscow, 129327




A. G. Koledinskiy
Peoples' Friendship University of Russia (RUDN University)
Russian Federation

Anton G. Koledinskiy – MD, PhD, Chair of Cardiology, X-ray Endovascular and Hybrid Methods of Diagnosis and Treatment.

Miklukho-Maklaya ul. 6, Moscow, 117198




T. Sh. Mirilashvili
Municipal Clinical Hospital named after A.K. Eramishantsev
Russian Federation

Temuri Sh. Mirilashvili – MD, PhD, Deputy Chief-Physician.

Lenskaya ul. 15,  Moscow, 129327




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For citation:


Klimovskiy S.D., Gazaryan G.G., Krichman M.D., Pisetskiy P.B., Koledinskiy A.G., Mirilashvili T.S. ACUTE CORONARY SYNDROME DUE TO CORONARY VASOSPASM – CASE REPORT. Rational Pharmacotherapy in Cardiology. 2017;13(5):630-636. (In Russ.) https://doi.org/10.20996/1819-6446-2017-13-5-630-636

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ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)