Phentermine and Coronary Vasospasm–Induced Myocardial Infarction

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Phentermine and Coronary Vasospasm–Induced Myocardial Infarction Megha Prasad, MD, Abdallah El Sabbagh, MD, Charanjit Rihal, MD, MBA, Amir Lerman, MD Mayo Clinic Proceedings Volume 94, Issue 7, Pages 1374-1377 (July 2019) DOI: 10.1016/j.mayocp.2018.08.029 Copyright © 2018 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 A, Electrocardiogram consistent with inferior ST-segment elevation myocardial infarction. Coronary angiography reveals proximal narrowing of the right coronary artery. B, Electrocardiogram and angiogram after the administration of intracoronary nitroglycerin. There is resolution of the narrowing noted in the proximal right coronary artery with concomitant normalization of the electrocardiogram. Mayo Clinic Proceedings 2019 94, 1374-1377DOI: (10.1016/j.mayocp.2018.08.029) Copyright © 2018 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 A, Initial coronary angiogram of the second patient. There is no evidence of narrowing of the proximal circumflex artery. B, Proximal narrowing of the circumflex artery with otherwise normal coronary vasculature suggestive of proximal circumflex artery spasm not present on the initial angiogram performed on the previous day. Mayo Clinic Proceedings 2019 94, 1374-1377DOI: (10.1016/j.mayocp.2018.08.029) Copyright © 2018 Mayo Foundation for Medical Education and Research Terms and Conditions