Acute myocardial infarction caused by multivessel coronary spasm due to calcium channel blocker withdrawal

Calcium channel blockers are a commonly used class of medications for the management of hypertension, angina, and superventricular tachyarrhythmias. Abrupt withdrawal of these agents can precipitate coronary vasospasm, which may result in myocardial infarction. We present the case of a 47‐year‐old w...

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Veröffentlicht in:	Catheterization and cardiovascular interventions 2011-08, Vol.78 (2), p.229-233
Hauptverfasser:	Kostis, William J., Suh, William M., Palacios, Igor F.
Format:	Artikel
Sprache:	eng
Schlagworte:	acute myocardial infarction calcium channel antagonist withdrawal Calcium Channel Blockers - administration & dosage Coronary Angiography coronary vasospasm Coronary Vasospasm - diagnosis Coronary Vasospasm - drug therapy Coronary Vasospasm - etiology Drug Administration Schedule Electrocardiography Female Humans Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - drug therapy Myocardial Infarction - etiology Ultrasonography, Interventional Vasodilator Agents - administration & dosage Verapamil - administration & dosage
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Zusammenfassung:	Calcium channel blockers are a commonly used class of medications for the management of hypertension, angina, and superventricular tachyarrhythmias. Abrupt withdrawal of these agents can precipitate coronary vasospasm, which may result in myocardial infarction. We present the case of a 47‐year‐old woman who sustained an acute myocardial infarction mediated by multivessel coronary vasospasm secondary to verapamil withdrawal and the associated interventional management. © 2011 Wiley‐Liss, Inc.
ISSN:	1522-1946 1522-726X
DOI:	10.1002/ccd.22937