Pathological Q-Waves With Coronary Artery Spasm

Yumi Hirota, MD; Shiro Nakamori, MD; Daisuke Hiramatsu, MD; Keishi Moriwaki, MD; Kyoko Imanaka-Yoshida, MD; Kaoru Dohi, MD

JACC: Case Reports (Apr 2021)

Pathological Q-Waves With Coronary Artery Spasm

Yumi Hirota, MD,
Shiro Nakamori, MD,
Daisuke Hiramatsu, MD,
Keishi Moriwaki, MD,
Kyoko Imanaka-Yoshida, MD,
Kaoru Dohi, MD

Affiliations

Yumi Hirota, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Shiro Nakamori, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan; Address for correspondence: Dr. Shiro Nakamori, Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 5148507, Japan.
Daisuke Hiramatsu, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Keishi Moriwaki, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Kyoko Imanaka-Yoshida, MD: Department of Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan; Mie University Research Center for Matrix Biology, Tsu, Mie, Japan
Kaoru Dohi, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan

Journal volume & issue: Vol. 3, no. 4
pp. 555 – 560

Abstract

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This case highlights the diagnostic challenge associated with myocarditis, especially when accompanied by coronary spasm. Any coronary spasm with hemodynamic instability and/or an inexplicable widespread electrocardiogram should alert the clinician to the possibility of fulminant myocarditis and the necessity of endomyocardial biopsy for treatment decisions. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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