Paradoxical coronary vasospasm and transient apical ballooning in a post-menopausal woman: An imaging case report of an unusual INOCA presentation

Madhavi Kadiyala, Saikrishna Patibandla, Erin D. Michos

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Ischemia with non-obstructive coronary artery disease (INOCA), a common cause of angina, can occur due to coronary vasospasm, microvascular dysfunction, endothelial dysfunction, atherosclerosis or a combination of these mechanisms. We describe a case of adenosine-associated paradoxical coronary vasospasm and Takotsubo-like apical ballooning in a postmenopausal woman with underlying mild coronary atherosclerosis and microvascular dysfunction.

Original languageEnglish
Article number100101
JournalAmerican Heart Journal Plus: Cardiology Research and Practice
Volume13
DOIs
StatePublished - Jan 2022
Externally publishedYes

Keywords

  • Adenosine
  • Cardiac magnetic resonance imaging
  • Coronary vasospasm
  • Ischemia with non-obstructive coronary artery disease

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