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October 5, 2025European Heart Journal - Case ReportsOpen Access

A Case Report of a Novel Approach to the Management of Refractory Coronary Vasospasm

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Authors

DLD. S. LapinCACon ArronisNJNigel Jepson

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Overview

Case report highlights corticosteroids and cardiac defibrillator use for refractory coronary vasospasm, suggesting new management options.

Key Points

  • The patient successfully managed refractory coronary vasospasm with corticosteroids and a wearable defibrillator.
  • A 46-year-old male exhibited recurrent chest pain despite antispasm therapy, indicating treatment challenges.
  • Effective management of refractory coronary vasospasm used innovative approaches, showing potential for improved patient outcomes.
  • Highlights the need for awareness of less common treatments, particularly corticosteroids in managing this condition.

Cite This Study

Lapin et al. (2025) studied this question.

synapsesocial.com/papers/68e24e65d6d66a53c24738f6https://doi.org/10.1093/ehjcr/ytaf500
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Refractory Ventricular Fibrillation Associated With a Coronary Vasospasm and Fixed Moderate Coronary Stenosis2026
  2. 2Intracoronary and Tailored Vasodilator Therapy for Refractory Ventricular Fibrillation Storm Triggered by Multivessel Coronary Spasm: A Case Report2026
  3. 3Recurrent Acute Coronary Syndrome Caused by Refractory Vasospastic Angina in a Patient with Essential Thrombocythemia: a Case Report2025
  4. 4Cardiac autonomic ganglion ablation for refractory coronary artery spasm after PCI: a case report2026
  5. 5Atrioventricular Block Induced by Right Coronary Artery Spasm in Vasospastic Angina2026