Successful management of cardiogenic shock with intracoronary nitroglycerin in a patient with left main coronary artery lesion.

摘要

Variant angina rarely involves the left main coronary artery [1-3]. A 46 year-old Caucasian male was admitted to hospital with chest pain. He was using ramipril/hydrochlorothiazide for hypertension for four years. He presented with presumed cardiogenic shock with blood pressure of 80/40 mmHg, heart rate of HObeat/min and 5 mm depression of ST segment on precordial leads on electrocardiography (Fig. 1A).