1 Cardiac Catheterization Unit, Cardiology Center, Mohamed V Military Training Hospital, Rabat, Morocco.
2 Cardiology Center, Mohamed V Military Training Hospital, Rabat, Morocco.
International Journal of Science and Research Archive, 2025, 15(01), 143-146
Article DOI: 10.30574/ijsra.2025.15.1.0172
Received on 16 February 2025; revised on 29 March 2025; accepted on 31 March 2025
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.
NSTEMI; Coronary spasm; Non-Obstructive Coronary Artery Disease; Vasospastic angina; Calcium channel blockers
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Hicham Faliouni, Youssef Fihri, Nabil Laktib, Soumia Faid, Driss Britel, Aatif Benyass and Zouhair Lakhal. The hidden culprit: Coronary Spasm Mimicking NSTEMI: A Case Study. International Journal of Science and Research Archive, 2025, 15(01), 143-146. Article DOI: https://doi.org/10.30574/ijsra.2025.15.1.0172.
Copyright © 2025 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
