A Case Report of Non-Atherosclerotic Driven Myocardial Infarction in a Patient Presenting with Coronary Artery Spasm: Non-atherosclerotic driven myocardial infarction

Ayisha  Tariq; Bilqees  Akhtar; Asma Sharif; Furqan  Yaqub; Bilal  Ahmad; Jawad  Ahmad; Amna  Tanvir

doi:10.52229/pbmj.v4i1.60

Authors

Ayisha Tariq Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Bilqees Akhtar Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Asma Sharif Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Furqan Yaqub Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Bilal Ahmad Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Jawad Ahmad Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Amna Tanvir Kinnaird College for Women University, Lahore, Pakistan

DOI:

https://doi.org/10.52229/pbmj.v4i1.60

Abstract

Background:

Non-atherosclerotic processes are regarded as equally important contributors to a substantial number of coronary problems mainly myocardial infarction. This includes coronary spasm which has been considered as one of the coronary syndromes leading to myocardial infarction. These non-atherosclerotic events ensuing in major averse cardiac events (MACE) not only require various diagnostic and therapeutic strategies but also there is a need to delineate the underlying etiology for their effective treatment and management.

Case Summary:

We report a case of anterior wall myocardial infarction (AWMI) driven by a non-atherosclerotic event i.e. coronary spasm. Concomitant marked ST-segment elevation recorded on ECG revealed a diffuse mid distal disease in our patient. We report here the initial presentation, coronary care & intervention and throughout the clinical course of our patient.

Conclusion:

Myocardial infarctionsinvolving non-atherosclerotic causes in young individuals as in our study should be reported by medical practitioners and given equal importance as they might indicate the underlying root cause of such events. Effective treatment of such future cases can be done by taking management strategies, diagnostic findings and prognostic data into consideration.

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