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Angiology
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Multivessel Coronary Artery Spasm Refractory to Intensive Medical Treatment

Tatsuhiko Asano, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan

Yoshio Kobayashi, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan, yoshio.kobayashi{at}wonder.ocn.ne.jp

Masaki Ohno, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan

Takashi Nakayama, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan

Nakabumi Kuroda, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan

Issei Komuro, MD

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan

This case report describes multivessel coronary artery spasm refractory to oral nifedipine, intravenous isosorbide dinitrate, diltiazem and nicorandil, and intracoronary nitroglycerin. Intracoronary administration of nicorandil only transiently relieved coronary artery spasm. Prednisolone was effective in preventing coronary artery spasm.

This version was published on November 1, 2007

Angiology, Vol. 58, No. 5, 636-639 (2007)
DOI: 10.1177/0003319707303583
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