The hidden culprit: Coronary Spasm Mimicking NSTEMI: A Case Study
Year: 2025
Type: article
Study design: Case Report
Abstract: Coronary artery spasm is a rare but significant cause of myocardial ischemia, often presenting as non-ST-elevation myocardial infarction (NSTEMI). We report the case of a 61-year-old male with cardiovascular risk factors including recently diagnosed hypertension and active smoking, who presented with acute chest pain. Coronary angiography revealed plaques with less than 50% stenosis and a spastic lesion in the right coronary artery (RCA). The patient responded well to medical therapy and demonstrated stable hemodynamics during follow-up. This case underscores the importance of recognizing coronary artery spasm in NSTEMI and highlights the role of clinical, imaging, and angiographic findings in its diagnosis and management.
Authors: Hicham Faliouni, Youssef Fihri, Nabil Laktib, Soumia Faid, Driss Britel, Aatif Benyass, Zouhair Lakhal
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4409197385