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June 12, 2026European Heart Journal - Case ReportsOpen Access

Comprehensive coronary function testing identified definitive epicardial coronary artery vasospasm in a 51-year-old male presenting with unexplained cardiac arrest and MINOCA.

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Population

A 51-year-old male presenting with an out of hospital ventricular fibrillation arrest and myocardial…

Design

Case_report

Key result

Comprehensive coronary function testing identified definitive epicardial coronary artery vasospasm in a 51-year-old male presenting with unexplained cardiac arrest and MINOCA.

Authors

ABAswin BabuCKCiara KennedyTCTravis Chong

Discussion

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Overview

May support vasospasm testing in MINOCA arrest survivors; leaves open standardized protocols.

Key Points

  • This case focuses on the recognition and management of coronary artery vasospasm as a cause of MINOCA.
  • Describes a 51-year-old male with ventricular fibrillation arrest and elevated troponin I.
  • Utilized coronary angiography and cardiac MRI to assess the heart's condition.
  • Conducted comprehensive coronary function testing to confirm coronary artery vasospasm.
  • Confirmed significant spasm fulfilling all three COVADIS criteria for epicardial coronary artery vasospasm.
  • Elevated high-sensitivity troponin I indicated acute myocardial injury consistent with MINOCA.
  • Personalized medical therapy was instituted following the identification of the condition.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 51-year-old male presenting with out-of-hospital ventricular fibrillation arrest diagnosed with MINOCA due to coronary artery vasospasm.
E
Exposure
Comprehensive coronary function testing (CFT) and endotype specific medical therapy

This case highlights the importance of considering coronary artery vasospasm in unexplained cardiac arrest and the utility of specific disease endotyping for personalized treatment.

Cite This Study

Babu et al. (2026) conducted a case report in Myocardial infarction with non-obstructive coronary arteries (MINOCA) / Coronary artery vasospasm (n=1). Coronary function testing (CFT) was evaluated. Comprehensive coronary function testing identified definitive epicardial coronary artery vasospasm in a 51-year-old male presenting with unexplained cardiac arrest and MINOCA.

synapsesocial.com/papers/6a2bd11d6550ea4541ffe8f6https://doi.org/10.1093/ehjcr/ytag442
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Also Consider

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

  1. 1Myocardial Infarction With Nonobstructive Coronary Arteries With Coronary Microvascular Dysfunction Associated With Systemic Sclerosis: Case Report2026
  2. 2Tackling MINOCA: A Comprehensive Review of its Mechanisms and Management2025
  3. 3Myocardial Infarction With Non-obstructive Coronary Arteries in a Nigerian Middle-Aged Woman: A Case Report2025
  4. 4Case Report: Sudden cardiac death due to spasm of multiple coronary arteries2025
  5. 5Myocardial Infarction With Nonobstructive Coronary Arteries (MINOCA)2017 · 176 citations