Arteriographic demonstration of coronary artery spasm during thrombolysis.

Abstract:

:A 60-year-old man with an acute inferior-wall myocardial infarction was noted, on arteriography, to have an occluded distal right coronary artery. The vessel was reopened with intravenous tissue plasminogen activator; during resolution of the clot, spasm was observed arteriographically but was successfully treated with intracoronary nitroglycerin. Follow-up arteriography showed a normal right coronary artery. The significance of this case lies in the fact that we were able to document the occurrence of spasm during coronary thrombolysis; such documentation supports the hypothesis that spasm may be a factor in the initiation of coronary thrombosis.

journal_name

Tex Heart Inst J

authors

Karim AH,Bennett W,Silver SJ,Kleiman NS,Goodman D,Heibig J

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

52-4

issue

1

eissn

0730-2347

issn

1526-6702

journal_volume

15

pub_type

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