The diagnosis of hypocalcaemia-induced coronary artery
vasospasm is difficult to make in the acute setting, especially in a patient with multiple risk factors such as CKD and HIV infection.
For patients with aneurysm rupture, fourteen days after attack is the peak period of aneurysm rupture;
vasospasm is of high risks three days after attack; the incidence of
vasospasm is the highest seven days after attack.19
Vasospasm can affect catheterization and determination on the size of aneurysma.
In regard to neurological risks to mobilisation (refer to Table 2), the majority of physiotherapists reported that they would prefer patients to remain in bed when
vasospasm is present (n=38/51, 75%), DCI (n=36/50, 72%) or there has been a recent further bleed (n=41/52, 79%).
Acute coronary syndrome secondary to allergic coronary
vasospasm (Kounis syndrome): A case series, follow-up and literature review.
It has been suggested that coronary artery
vasospasm may occur from cannabis use, which may precipitate thrombosis; however, this is not well defined.
Aneurysmal subarachnoid hemorrhage (aSAH) is often associated with poor functional and cognitive outcomes, (1) which are attributed to the initial hemorrhage, as well as secondary complications such as cerebral
vasospasm, delayed cerebral ischemia, or myocardial injury.
(3,4) Therefore, adrenaline should be used cautiously due to the theoretical risk of worsening coronary
vasospasm and myocardial ischemia through the alpha receptor effect.
ACh provocation was not performed to test for
vasospasm. We postulate seizure-induced hypercatecholaminergic-mediated coronary
vasospasm at the mid-RCA as the cause of the STEMI.
In rare instances, patients with hyperthyroidism can experience angina suggestive of myocardial ischemia either due to known or suspected underlying ischemic heart disease or secondary to coronary artery
vasospasm (CAS) [2].
Ergotamine mimics the neurotransmitters norepinephrine, serotonin, and dopamine and can result in smaller and bigger vessels
vasospasm and vasoconstriction [3].
Vasospasm is a devastating event, complicating as high as 50% of SAH with increased morbidity and mortality [1].
Vasodilators are the mainstay of treatment in usual
vasospasm, but in patients with CSS induced
vasospasm, vasodilators have little role in the treatment [8].