Acute Coronary Syndrome With Normal Coronary Arteries: a Case of Spontaneous Spasm Lysis.
Introduction
Patients suffering from Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) are found with no obstructive coronary artery disease on coronary arteriography. The Aim of this interesting case report is to present a patient with acute chest pain, temporal ST-segment elevation and MINOCA.


Case report
A case of a young woman who presented with acute chest pain suggestive of angina, with temporal ST-segment elevation, accidentally recorded and not rising of myocardial necrosis biomarkers in blood tests is described. A coronary angiography via right radial artery was performed and revealed normal coronary arteries. She was defined suffering from Myocardial infarction with Non-Obstructive Coronary Arteries (MINOCA) which occurs in 1-14% of Myocardial Infarction cases. Treatment with nitrates calcium, calcium channel blockers and antiplatelet in the basis of ACS is highly indicated.


Conclusion
Coronary artery spasm is not a rare cause of ACS. Coronary angiography is indicated in all cases to exclude severe coronary heart disease.
['Ioannis|Vogiatzis|V|', 'Konstantinos|Koutsambasopoulos|K|', 'Antonios|Samaras|S|', 'Ioannis|Bostanitis|B|']
D054058:Acute Coronary Syndrome D002121:Calcium Channel Blockers D003331:Coronary Vessels D004562:Electrocardiography D005260:Female D006801:Humans D008875:Middle Aged D010975:Platelet Aggregation Inhibitors D013035:Spasm D016896:Treatment Outcome
acute coronary syndrome MINOCA coronary artery spasm unstable angina