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J Cardiol Cases . Severe multivessel coronary vasospasm in a patient with coronavirus disease 2019

tetano

Editor, Senior Moderator
J Cardiol Cases


. 2023 May 24.
doi: 10.1016/j.jccase.2023.05.010. Online ahead of print. Severe multivessel coronary vasospasm in a patient with coronavirus disease 2019

Mai Azuma[SUP] 1 [/SUP], Shingo Kato[SUP] 1 2 [/SUP], Kota Murohashi[SUP] 3 [/SUP], Kazuki Fukui[SUP] 1 [/SUP], Daisuke Utsunomiya[SUP] 2 [/SUP], Hideya Kitamura[SUP] 3 [/SUP], Eri Hagiwara[SUP] 3 [/SUP], Takashi Ogura[SUP] 3 [/SUP]



Affiliations
Abstract

We present the case of a 65-year-old male with multivessel coronary spasm presumably related to coronavirus disease 2019 (COVID-19). Acetylcholine coronary angiogram and cardiac magnetic resonance imaging were used for the diagnosis. As the precise pathophysiology of myocardial injury by COVID-19 remains unclear, the multimodality approach may contribute to the accurate diagnosis.
Learning objective: Myocardial involvement by severe acute respiratory syndrome coronavirus 2 infection is related to various pathologies. It is important to evaluate the degrees of cardiac damage and make a diagnosis by multimodality imaging especially with cardiac magnetic resonance.

Keywords: Acetylcholine; Coronary angiogram; Coronary spasm; Coronavirus disease 2019; Magnetic resonance imaging.

 
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