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KMID : 1214920200260020067
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Soonchunhyang Medical Science
2020 Volume.26 No. 2 p.67 ~ p.70
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Coronary Artery Vasospasm with Acute Myocarditis in an Adolescent
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Jung Yoo-Ra
Lee Sun-Hyang
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Abstract
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A 13-year-old boy had a 5-day history of prodromal symptoms of fever and dry cough followed by two episodes of severe anginal chest pain and substantial transient ST-segment elevation. A subsequent evaluation showed that the chest pain was caused by coronary artery vasospasm complicating acute myocarditis. We report a rare case of coronary artery vasospasm in an adolescent with a medical history of Raynaud’s phenomenon who was successfully treated with intravenous immunoglobulin and a calcium channel blocker. This report exemplifies the need for pediatricians to be aware that anginal pain due to coronary artery spasm can, albeit rarely, occur in children as a complication of myocarditis, sometimes as a concomitant feature in patients with Raynaud’s phenomenon; in suspected cases, serial electrocardiography is important to perform.
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KEYWORD
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Adolescent, Coronary vasospasm, Myocarditis, Raynaud disease
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