VASOSPASM AS A CAUSE OF TYPE 2 MYOCARDIAL INFARCTION. TACTICS OUTSIDE THE GUIDELINES

Abstract

The review is focused on the recent data on the causes of type 2 myocardial infarction and specifics of its diagnostics and management in patients with vasospastic angina. Significance of the problem is based upon the fact that strategies of this sort of patients management are lacking and usually do not fit guidelines. There is absence of agreed princips of long term management of such patients. The selection of strategy (medication therapy, revascularization of the spastic region, prevention of complications and another infarction) is disputable. The case provided, illustrating some of the listed issues from a real practice point of view.

Keywords

• vasospastic angina
• type 2 myocardial infarction
• bioabsorbable stents
• young age
• ventricular tachicardia