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Coronary Slow Flow and Acute Coronary Syndrome in a Patient with Spinal Cord Injury

By Meryem Aktoz, Ersan Tatli, Ahmet Barutcu, Flora Ozkalayci, Elif Umit and Armagan Altun


We report the case of a 55-year-old man who presented with acute coronary syndrome due to coronary slow flow after spinal cord injury. Data regarding the causes and clinical manifestations of coronary slow flow are inconclusive, but the autonomic nervous system is believed to be at least a contributing factor. The predominant vagal activity causes vasodilation and hemostasis, which can lead to acute coronary syndrome. We hereby call attention to hyperactive parasympathetic tonicity, which can lead to coronary slow flow and acute coronary syndrome in acute spinal cord injury patients

Topics: Case Reports
Publisher: Texas Heart Institute
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Provided by: PubMed Central
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