JACC: Case Reports (Aug 2019)

Vasopressor-Induced Generalized Coronary Vasospasm Presenting as Inferior ST-Segment Elevation in Post-Cardiopulmonary Resuscitation

  • Ahmed Elkaryoni, MD,
  • Dushyant Ramakrishnan, MD,
  • Islam Abdelkarim, MD,
  • Anas Noman, MD,
  • Mohammed Qintar, MD,
  • Paramdeep Baweja, MD

Journal volume & issue
Vol. 1, no. 2
pp. 94 – 98

Abstract

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ST-segment elevation in post-return of spontaneous circulation after cardiac arrest is a major concern for underlying acute coronary syndrome. This case report presents a rare case of vasopressor-induced coronary vasospasm as an underlying cause for this ST-segment elevation with complete reversal of EKG changes after reducing the vasopressor dose. (Level of Difficulty: Beginner.)

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