Recurrent myocardial infarction in a patient with Prinzmetal's angina and normal coronary arteries.

摘要: Abstract A 55-year-old man was referred for the evaluation of frequent chest pain and syncope. While in hospital, he experienced severe accompanied by transient ST segment elevation a slight cardiac enzyme levels. Multiple coronary arteriograms were recorded at various times during an interval 2 months. On one occasion, results normal; on another they showed total occlusion left anterior descending, diagonal, circumflex arteries. The completely relieved with sublingual nitroglycerin. Because patient's clinical condition deteriorated rapidly, double aortocoronary saphenous vein bypass performed to descending During induction anesthesia, ventricular fibrillation occurred, patient died from refractory recurrent 4 hours after surgery. Postmortem examination revealed normal arteries, patent grafts, multiple focal areas recent old myocardial fibrosis. Thus, it appears that spasm, presence otherwise can produce infarction necrosis, medical management may provide more successful method treating such patients.