Abstract

VAN HOUGENHOUCK-TULLEKEN, W G  and  UECKERMANN, V. An unexpected acute coronary syndrome. South. Afr. j. crit. care (Online) [online]. 2019, vol.35, n.1, pp.25-26. ISSN 2078-676X.  http://dx.doi.org/10.7196/sajcc.2019.v35i1.386.

Acute coronary syndromes due to coronary artery vasospasm occur rarely and are difficult to diagnose in the acute setting. We present a patient with hypocalcaemia-induced coronary artery vasospasm, which resulted in an acute ST-elevation myocardial infarction. This was reversible upon administering intravenous calcium, with no long-term cardiac consequences for our patient.

Keywords : Acute coronary syndrome; bridging myocardium; chronic kidney disease; hypocalcaemia; pancreatitis.

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