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Acute coronary syndrome due to multi-vessel coronary artery spasm in an Afghan refugee adolescent mimicking recurrent myocarditis

Published online by Cambridge University Press:  24 July 2023

Yasemin Nuran Donmez Open the ORCID record for Yasemin Nuran Donmez [Opens in a new window] ,
Mehmet Erat ,
Ayse Esra Tapci  and
Hasan Yigit
Yasemin Nuran Donmez*
Affiliation:
Pediatric Cardiology, Ankara Training and Research Hospital, Ankara, Turkey
Mehmet Erat
Affiliation:
Cardiology, Ankara Training and Research Hospital, Ankara, Turkey
Ayse Esra Tapci
Affiliation:
Pediatrics, Ankara Training and Research Hospital, Ankara, Turkey
Hasan Yigit
Affiliation:
Radiology, Ankara Training and Research Hospital, Ankara, Turkey
*
Corresponding author: Yasemin Nuran Donmez; Email: yaseminnurandonmez@gmail.com
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Abstract

Vasospastic angina is extremely uncommon for adolescents to experience chest discomfort, which is defined by transitory ST segment elevation or depression and angina symptoms that occur while at rest. It may result in potentially fatal conditions like myocardial infarction, ventricular fibrillation, or even sudden cardiac arrest. To aim of this article is to report a very rare case of a 17-year-old male Afghan refugee who was diagnosed with vasospastic angina after presenting with chest pain, and after receiving calcium channel blocker and nitrates for medical therapy, there were no angina attacks. Our case underlines the value of a thorough evaluation of adolescent’s chest pain, the need to diagnose based on the symptoms, and the necessity of performing coronary angiography to rule out coronary causes when there is a high suspicion to a cardiac cause.

Keywords

Chest painvasospastic anginaselective coronary angiographyacute coronary syndrome
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 11 , November 2023 , pp. 2434 - 2437
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

Chen, L, Duan, H, Li, X, Yang, Z, Jiao, M, Sun, K, Jin, M. The causes of chest pain in children and the criteria for targeted myocardial enzyme testing in identifying the causes of chest pain in children. Front Cardiovasc Med 2021; 8: 582129.10.3389/fcvm.2021.582129CrossRefGoogle ScholarPubMed
Collins, SA, Griksaitis, MJ, Legg, JP. 15-minute consultation: a structured approach to the assessment of chest pain in a child. Arch Dis Child Educ Pract Ed 2014; 99: 122–126. DOI: 10.1136/archdischild-2013-303919.10.1136/archdischild-2013-303919CrossRefGoogle Scholar
Beltrame, JF, Crea, F, Kaski, JC, et al. International standardization of diagnostic criteria for vasospastic angina. Eur Heart J. 2017; 38: 2565–2568. DOI: 10.1093/eurheartj/ehv351.Google ScholarPubMed
Tandon, V, Mosebach, CM, Kumar, M, Joshi, S. Refractory vasospastic angina: when typical medications don't work. Cureus 2019; 11: e4134. DOI: 10.7759/cureus.4134.Google ScholarPubMed
Picard, F, Sayah, N, Spagnoli, V, Adjedj, J, Varenne, O. Vasospastic angina: a literature review of current evidence. Arch Cardiovasc Dis. 2019; 112: 44–55. DOI: 10.1016/j.acvd.2018.08.002.10.1016/j.acvd.2018.08.002CrossRefGoogle ScholarPubMed
Sueda, S. Young vasospastic angina patients less than 20 years old. Circ J. 2019; 83: 1925–1928. DOI: 10.1253/circj.CJ-19-0433.10.1253/circj.CJ-19-0433CrossRefGoogle ScholarPubMed
Stern, S, Bayes de Luna, A. Coronary artery spasm: a 2009 update. Circulation. 2009; 119: 2531–2534. DOI: 10.1161/CIRCULATIONAHA.108.843474.10.1161/CIRCULATIONAHA.108.843474CrossRefGoogle ScholarPubMed
Group JCSJW. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014; 78: 2779–2801. DOI: 10.1253/circj.cj-66-0098.10.1253/circj.CJ-66-0098CrossRefGoogle Scholar