ST-T wave changes in a patient complicated with vasospastic angina and Brugada syndrome : differential responses to acetylcholine in right and left coronary artery

A 49-year-old man with chest pain and syncope presented saddleback or occasionally coved type ST elevation in V1-V3. Coronary spasm in the left anterior descending artery was induced by acetylcholine injection and ST elevation changed from saddleback to coved type in V2-V3 together with ST depression in V4-V5, whereas acetylcholine injection into the right coronary artery did not provoke spasm, but induced augmented and coved type ST elevation in V2 without ST-T changes in V4-V5. These electrocardiographic changes in response to acetylcholine administration into each coronary artery are compatible with pathogenesis of vasospastic angina and Brugada syndrome, respectively.

Medienart:

E-Artikel

Erscheinungsjahr:

2008

Erschienen:

2008

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Heart and vessels - 23(2008), 3 vom: 14. Mai, Seite 201-5

Sprache:

Englisch

Beteiligte Personen:

Nishizaki, Mitsuhiro [VerfasserIn]
Fujii, Hiroyuki [VerfasserIn]
Ashikaga, Takashi [VerfasserIn]
Yamawake, Noriyoshi [VerfasserIn]
Sakurada, Harumizu [VerfasserIn]
Hiraoka, Masayasu [VerfasserIn]

Links:

Volltext

Themen:

Acetylcholine
Case Reports
Journal Article
N9YNS0M02X

Anmerkungen:

Date Completed 15.01.2009

Date Revised 20.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00380-007-1036-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM179609629