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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Cardiac Spasms Cause A Myocardial Infarction?

I went via ambulance to emergency room with crushing pain in left chest and arm. ecg normal, troponin .02, then elevated to .1 er diagnosed nstemi and i was admitted. cardiac CT showed no CAD. Totally clear. cardiologist diagnosed Prinzmetal s angina. Did I have an MI caused by cariac spasm?
Thu, 22 Mar 2018
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Cardiologist 's  Response
Hello,

It seems that you have had myocardial ischemia. As there was no evidence of CAD in the cardiac CT scan, Prinzmetal angina could be a possible option. Anyway, I would recommend performing a dobutamine stress echo or a coronary angiogram in order to exclude coronary artery disease (CAD).


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka
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Do Cardiac Spasms Cause A Myocardial Infarction?

Hello, It seems that you have had myocardial ischemia. As there was no evidence of CAD in the cardiac CT scan, Prinzmetal angina could be a possible option. Anyway, I would recommend performing a dobutamine stress echo or a coronary angiogram in order to exclude coronary artery disease (CAD). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka