Intracoronary Administration of Nicorandil for the Treatment of Spontaneous Microvascular Spasm with ST Segment Elevation

Satoshi Kurisu; Ichiro Inoue; Takuji Kawagoe; Masaharu Ishihara; Yuji Shimatani; Kenji Nishioka; Suji Nakamura; Takashi Umemura; Masashi Yoshida

doi:10.1253/circj.68.267

Intracoronary Administration of Nicorandil for the Treatment of Spontaneous Microvascular Spasm with ST Segment Elevation

Satoshi Kurisu, Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Kenji Nishioka, Suji Nakamura, Takashi Umemura, Masashi Yoshida

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

A 64-year-old man with a history of previous coronary intervention of the left anterior descending artery was admitted to hospital because of recurrent chest pain at rest. Coronary angiography revealed no significant coronary artery stenosis. During preparation for the second shot of the right coronary artery, chest pain occurred unexpectedly, represented by ST segment elevation in leads II, III and a V F. Immediate right coronary angiography revealed no significant coronary artery stenosis, but markedly delayed contrast medium washout. Intracoronary administration of nicorandil attenuated this phenomenon, and the patient was diagnosed as having angina pectoris caused by microvascular spasm with ST segment elevation.

Original language	English
Pages (from-to)	267-269
Number of pages	3
Journal	Circulation Journal
Volume	68
Issue number	3
DOIs	https://doi.org/10.1253/circj.68.267
Publication status	Published - Mar 2004
Externally published	Yes

Keywords

Angiography
Coronary microcirculation
Nicorandil

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1253/circj.68.267

Cite this

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title = "Intracoronary Administration of Nicorandil for the Treatment of Spontaneous Microvascular Spasm with ST Segment Elevation",

abstract = "A 64-year-old man with a history of previous coronary intervention of the left anterior descending artery was admitted to hospital because of recurrent chest pain at rest. Coronary angiography revealed no significant coronary artery stenosis. During preparation for the second shot of the right coronary artery, chest pain occurred unexpectedly, represented by ST segment elevation in leads II, III and a V F. Immediate right coronary angiography revealed no significant coronary artery stenosis, but markedly delayed contrast medium washout. Intracoronary administration of nicorandil attenuated this phenomenon, and the patient was diagnosed as having angina pectoris caused by microvascular spasm with ST segment elevation.",

keywords = "Angiography, Coronary microcirculation, Nicorandil",

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T1 - Intracoronary Administration of Nicorandil for the Treatment of Spontaneous Microvascular Spasm with ST Segment Elevation

AU - Kurisu, Satoshi

AU - Inoue, Ichiro

AU - Kawagoe, Takuji

AU - Ishihara, Masaharu

AU - Shimatani, Yuji

AU - Nishioka, Kenji

AU - Nakamura, Suji

AU - Umemura, Takashi

AU - Yoshida, Masashi

PY - 2004/3

Y1 - 2004/3

N2 - A 64-year-old man with a history of previous coronary intervention of the left anterior descending artery was admitted to hospital because of recurrent chest pain at rest. Coronary angiography revealed no significant coronary artery stenosis. During preparation for the second shot of the right coronary artery, chest pain occurred unexpectedly, represented by ST segment elevation in leads II, III and a V F. Immediate right coronary angiography revealed no significant coronary artery stenosis, but markedly delayed contrast medium washout. Intracoronary administration of nicorandil attenuated this phenomenon, and the patient was diagnosed as having angina pectoris caused by microvascular spasm with ST segment elevation.

AB - A 64-year-old man with a history of previous coronary intervention of the left anterior descending artery was admitted to hospital because of recurrent chest pain at rest. Coronary angiography revealed no significant coronary artery stenosis. During preparation for the second shot of the right coronary artery, chest pain occurred unexpectedly, represented by ST segment elevation in leads II, III and a V F. Immediate right coronary angiography revealed no significant coronary artery stenosis, but markedly delayed contrast medium washout. Intracoronary administration of nicorandil attenuated this phenomenon, and the patient was diagnosed as having angina pectoris caused by microvascular spasm with ST segment elevation.

KW - Angiography

KW - Coronary microcirculation

KW - Nicorandil

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Intracoronary Administration of Nicorandil for the Treatment of Spontaneous Microvascular Spasm with ST Segment Elevation

Abstract

Keywords

ASJC Scopus subject areas

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