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Journals / Sakarya Tıp Dergisi / 2026 / Volume: 10 Issue: 2

Multivessel Vasospastik Angina with ST Segment Elevation and Total AV Block

Ümmü Taş(Manisa Merkezefendi devlet hastanesi)0000-0002-3725-2944
Sedat Taş(Manisa şehir hastanesi)
Dayimi Kaya(DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-1364-7770
Pages
—
Publication Date
2020-06-15
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The patient was discharged, and the chest pain did not recur at 1 year follow up.

📌 3 Key Takeaways

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Objective & Hypothesis:A 49-year-old female patient was admitted to our hospital with ST segment elevation in the inferior derivations (D2, D3, aVF) and a total atrioventricular block.
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Key Findings & Data:Subsequently, we noticed that the vasospasm disappeared and formed TIMI-3 flow again.
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Conclusion & Impact:The patient was discharged, and the chest pain did not recur at 1 year follow up.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Acute myocardial Infarction · Coronary Angiography · Coronary Artery Disease

Abstract

A 49-year-old female patient was admitted to our hospital with ST segment elevation in the inferior derivations (D2, D3, aVF) and a total atrioventricular block. The initial electrocardiography performed on the patient in the coronary intensive care unit showed no total AV block and no ST segment elevation. The patient was accepted as a transient ST segment elevation MI and a coronary angiogram was performed. The coronary angiogram showed critical lesions in the left main coronary artery (LMCA) and the right coronary artery (RCA). We thought that the patient’s condition might have been caused by vasospasm and gave intracoronary nitroglycerin. Subsequently, we noticed that the vasospasm disappeared and formed TIMI-3 flow again. The patient’s chest pain disappeared. The patient’s diagnosis was determined to be vasospastic angina, and she was given treatment accordingly. The patient was discharged, and the chest pain did not recur at 1 year follow up.

Özet

49 yaşında bayan hasta, elektrokardiyografisinde inferior derivasyonlarda (D2-D3 ve aVF) ST segment elevasyonu ve total atrio-ventriküler blok olması nedeni ile hastanemize başvurdu. Hastanın koroner yoğun bakımda çekilen elektrokardiyografisinde ST segment elevasyonlarının gerilediği ve total atrio-ventriküler bloğun kaybolmuş olduğu görüldü. Hasta geçici ST eleve myokard enfarktüsü olarak kabul edildi ve koroner anjiyografisi yapıldı. Koroner anjiyografide sol ana koroner arter (LMCA) ve sağ koroner arterde (RCA) kritik lezyonlar görüldü. Hastanın durumunun vazospazma bağlı olabileceği düşünülerek intrakoroner nitrat yapıldı. Vazospazmın yok olduğu ve TIMI-3 akımın tekrar oluştuğu görüldü. Hastanın göğüs ağrısı ortadan kalktı. Hastaya vazospastik angina tanısı konularak tedavisi başlandı. Hasta taburcu edildi ve hastanın 1 yıl süresince yapılan takiplerinde göğüs ağrısı tekrarlamadı.

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Cite This Article

Taş, S., Kaya, D. (2020). Multivessel Vasospastik Angina with ST Segment Elevation and Total AV Block. Sakarya Tıp Dergisi, Volume: 10 Issue: 2. https://doi.org/10.31832/smj.715464

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