Images in Intensive Medicine
Coronary vasospasm: An infrequent cause of cardiopulmonary arrest
Vasoespasmo coronario: una causa infrecuente de parada cardiorrespiratoria
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Ashbaugh Lavesiera, A.J. de Moneo González, I.T. Gómez Blazquez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "Ashbaugh Lavesiera" "email" => array:1 [ 0 => "rosana.ashbaugh@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A.J." "apellidos" => "de Moneo González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "I.T." "apellidos" => "Gómez Blazquez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario 12 Octubre, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología, Unidad de Hemodinámica, Hospital Universitario 12 Octubre, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vasoespasmo coronario: una causa infrecuente de parada cardiorrespiratoria" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 903 "Ancho" => 900 "Tamanyo" => 92265 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 53-year-old male patient without any known cardiovascular risk factors who suffered a cardiopulmonary arrest at this working place. First asystole rhythm reported and electrical activity without a pulse. A total of 5<span class="elsevierStyleHsp" style=""></span>mg of adrenalin were administered. Pulse was recovered after 20<span class="elsevierStyleHsp" style=""></span>min performing advanced CPR maneuvers. The first ECG performed revealed the presence of ST-segment elevation on leads I, III, and aVF that resolved spontaneously. At our hospital, a transient ST-segment elevation could be seen on leads V3, V4, and V5 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The emergency coronary angiography performed showed diffuse spasm in the coronary arteries with subtotal stenosis (TIMI flow grade 1) in the proximal left anterior descending coronary artery (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The spasm resolved with intracoronary nitroglycerin (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) with final TIMI flow grade 3 in the 3 major vessels. The patient progressed to severe hypoxic-ischemic encephalopathy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ashbaugh Lavesiera R, de Moneo González AJ, Gómez Blazquez IT. Vasoespasmo coronario: una causa infrecuente de parada cardiorrespiratoria. Med Clin (Barc). 2021;45:192–193.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1765 "Ancho" => 2500 "Tamanyo" => 390749 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 903 "Ancho" => 900 "Tamanyo" => 92265 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 900 "Ancho" => 900 "Tamanyo" => 115976 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004500000003/v1_202103261003/S2173572721000011/v1_202103261003/en/main.assets" "Apartado" => array:4 [ "identificador" => "66582" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004500000003/v1_202103261003/S2173572721000011/v1_202103261003/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572721000011?idApp=WMIE" ]
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