Multivessel Coronary Artery Spasm Refractory to Intensive Medical Treatment
Tatsuhiko Asano, MD,
Yoshio Kobayashi, MD*,
Masaki Ohno, MD,
Takashi Nakayama, MD,
Nakabumi Kuroda, MD,
and
Issei Komuro, MD
Chiba University Graduate School of Medicine
* To whom correspondence should be addressed. E-mail: yoshio.kobayashi{at}wonder.ocn.ne.jp.
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Abstract |
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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.
