Coronary artery spasm-one medical entity with different treatment options

Author:

Zdravkovic Vladimir1ORCID,Vucic Rada1ORCID,Sreckovic Miodrag1ORCID,Simic Ivan1,Mitrovic Vojislav2,Dincic Dragan3,Knezevic Slavko4,Zdravkovic Nemanja5ORCID

Affiliation:

1. Faculty of Medical Sciences, Kragujevac + Clinical Center Kragujevac, Department of Cardiology, Kragujevac

2. Klinikum Coburg, GmbH, Department of Cardiology, Coburg, Germany

3. Military Medical Academy, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade

4. Clinical Center Kragujevac, Department of Internal Medicine, Kragujevac

5. Faculty of Medical Sciences, Center for Molecular Medicine and Stem Cell Research, Kragujevac

Abstract

Introduction. Myocardial infarction (MI) is characterized by a critical myocardial ischemia followed by an irreversible myocardial cell damage or death. Case report. We presented two similar clinical cases with the ST segment elevation myocardial infarction (STEMI) diagnosis due to a prolonged coronary artery spasm, but with different treatment options due to different basic patophysiological supstrates and clinical presentations. Conclusion. Coronary artery spasm is a very complex pathophysiological entity with a different medication therapy management. Although the percutaneous coronary intervention can be the first choice, the treatment strategy should be carefully planned

Publisher

National Library of Serbia

Subject

Pharmacology (medical),General Medicine

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