Recurrent coronary artery disease

Health is not Valued till Sickness Comes
20 Sep

Coronary artery spasm (CAS) plays an important role in the pathogenesis of a wide variety of ischemic heart diseases. Several case reports have shown that CAS due to hypocalcemia can mimic myocardial infarction. However, in all these cases there were coexisting electrolyte abnormalities or other medical conditions that are risk factors for coronary spasm. We describe recurrent acute coronary syndrome in an otherwise healthy young woman without cardiac risk factors caused by coronary spasms, alternatively occurring in all three major coronary arteries.

Isolated hypocalcemia may cause acute coronary artery spasm, leading to recurrent acute coronary syndrome. This unusual cause of recurrent acute coronary syndrome occurred in a young, otherwise healthy female with no risk factors for coronary artery diseases. Medical treatment would resolve the spasm in the large majority of the patients.

the recurrent acute coronary syndrome in this otherwise healthy young woman without cardiac risk factors was caused by coronary spasms, alternatively occurring in all three major coronary arteries. Hypocalcemia may have played an important role in causing coronary spasm.

About author

Dr. Adil Sadiq
Cardiologist
Dr. Adil Sadiq has the distinction of probably being the only Cardiac surgeon in South India who is trained in Robotic Cardiac surgery. He is one of the very few surgeons in the country, who has extensive experience in minimally invasive cardiac surgery, including endoscopic approaches and is one of the very few surgeons performing Video Assisted Thoracoscopic Surgery (VATS) in this part of the country.

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