Complex coronary artery disease due to coronary spasm and atherosclerotic lesions - a case report
Derkacz, A.; Nowosad, H.; Arkowski, J.; Protasiewicz, M.; Kustrzycki, W.
Kardiologia Polska 58(4): 290-293
2003
ISSN/ISBN: 0022-9032 PMID: 14517561 Document Number: 559474
We present a case of 55-year old man with a complex form of ischaemic heart disease. Except a significant narrowing of the circumflex coronary branch, a spasm of several branches of left coronary artery was found. The percutaneous balloon angioplasty and a modification of pharmacological treatment (introduction of nitrates and Ca-blockers) was effective. Clinical aspects and possible mechanisms of coronary artery spasm are discussed.
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