Acute coronary syndrome due to coronary vasospasm - Case report

Spasm of the coronary arteries is a dynamic narrowing of one or more coronary arteries, leading to significant restriction of the lumen. The leading role in coronary artery spasm diagnostic belongs to coronary angiography and its accompanying provocative tests. Mechanisms of coronary artery spasm development remain incompletely clarified and it's considered as a multifactorial disease with its own specific risk factors. Though pathophysiology is no longer a matter of dispute, further efforts should be aimed at the practical application of the recommendations. Diagnosis of the coronary artery spasm has important practical significance, due to the prevailing benefit of calcium antagonists in the treatment and absence of benefit from percutaneous coronary interventions in most cases. A clinical case of the patient with multivessel, multifocal coronary artery spasm is presented.