Abstract | Background: Case summary: We report a case of a 37-year-old woman who presented with recurrent non-ST elevation myocardial infarction ( NSTEMI), coinciding with her menstrual periods. Intracoronary acetylcholine provocation testing resulted in coronary spasm in the left anterior descending artery (LAD) that was relieved with nitroglycerine. Initiating calcium channel blockade and suppressing cyclical variation in sex hormones resulted in improvement of her symptoms and cessation of monthly NSTEMI events due to coronary spasm. Discussion:
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Authors | Nina Talmor, Michael Gurin, Nathaniel Smilowitz, Dana Gossett, Bruria Eisner, Mitchell Pleasure, Harmony R Reynolds |
Journal | European heart journal. Case reports
(Eur Heart J Case Rep)
Vol. 7
Issue 2
Pg. ytad019
(Feb 2023)
ISSN: 2514-2119 [Electronic] England |
PMID | 36793935
(Publication Type: Case Reports)
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Copyright | © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. |