White Clot Formation at Acetylcholine Testing
Coronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-05-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084921002345 |
| _version_ | 1819000336522674176 |
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| author | Paolo Angelini, MD Maria T. Gamero, MD Carlo Uribe, MD |
| author_facet | Paolo Angelini, MD Maria T. Gamero, MD Carlo Uribe, MD |
| author_sort | Paolo Angelini, MD |
| collection | DOAJ |
| description | Coronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging showed fresh white platelet clots. Antiplatelet prasugrel has substantially suppressed her symptoms. (Level of Difficulty: Advanced.) |
| first_indexed | 2024-12-20T22:31:42Z |
| format | Article |
| id | doaj.art-4af045e458384a579ee423fcb700be82 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-12-20T22:31:42Z |
| publishDate | 2021-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-4af045e458384a579ee423fcb700be822022-12-21T19:24:41ZengElsevierJACC: Case Reports2666-08492021-05-0135801805White Clot Formation at Acetylcholine TestingPaolo Angelini, MD0Maria T. Gamero, MD1Carlo Uribe, MD2Department of Cardiology, Texas Heart Institute, Houston, Texas, USA; Address for correspondence: Dr. Paolo Angelini, Texas Heart Institute, 6624 Fannin Street, Suite 2780, Houston, Texas 77030, USA.Department of Internal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Cardiology, Texas Heart Institute, Houston, Texas, USACoronary intraluminal white clot formation, apparently in response to acetylcholine testing, may explain a woman’s long-term history of daily chest pain and multiple myocardial infarctions. Acetylcholine testing reproduced chest pain and revealed luminal filling defects in multiple vessels; imaging showed fresh white platelet clots. Antiplatelet prasugrel has substantially suppressed her symptoms. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084921002345angina pectoriscoronary artery diseasecoronary vasospasmmyocardial infarctionplatelet aggregationplatelet aggregation inhibitors |
| spellingShingle | Paolo Angelini, MD Maria T. Gamero, MD Carlo Uribe, MD White Clot Formation at Acetylcholine Testing JACC: Case Reports angina pectoris coronary artery disease coronary vasospasm myocardial infarction platelet aggregation platelet aggregation inhibitors |
| title | White Clot Formation at Acetylcholine Testing |
| title_full | White Clot Formation at Acetylcholine Testing |
| title_fullStr | White Clot Formation at Acetylcholine Testing |
| title_full_unstemmed | White Clot Formation at Acetylcholine Testing |
| title_short | White Clot Formation at Acetylcholine Testing |
| title_sort | white clot formation at acetylcholine testing |
| topic | angina pectoris coronary artery disease coronary vasospasm myocardial infarction platelet aggregation platelet aggregation inhibitors |
| url | http://www.sciencedirect.com/science/article/pii/S2666084921002345 |
| work_keys_str_mv | AT paoloangelinimd whiteclotformationatacetylcholinetesting AT mariatgameromd whiteclotformationatacetylcholinetesting AT carlouribemd whiteclotformationatacetylcholinetesting |