Abstract:
:Several lines of evidence have shown that viral infections are capable of causing coronary spasm and precipitating or mimicking clinical myocardial infarction. Here we report the case of a 41-year-old woman with recurrent angina who was admitted to our hospital because of ventricular tachycardia. Laboratory examination revealed positive IgM titers against Coxsackie B virus. Coronary angiography showed normal coronary arteries, but following a cold pressure test severe spasm of all coronaries with thrombotic occlusion of the second marginal branch of the circumflex artery occurred. We conclude that coronary spasm should be clinically suspected in patients with chest pain and ventricular arrhythmia in combination with IgM antibodies against Coxsackie B virus. In these patients, a cold pressure test should be avoided, and antithrombotic and antispastic therapy is recommended.
journal_name
Cardiologyjournal_title
Cardiologyauthors
Haberbosch W,Roerich N,Neuzner Jdoi
10.1159/000006987subject
Has Abstractpub_date
1999-01-01 00:00:00pages
278-81issue
4eissn
0008-6312issn
1421-9751pii
6987journal_volume
92pub_type
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