2023 Pathobiology and evolving therapies of coronary artery vasospasm

Abstract

Coronary artery vasospasm is a known cause of chest pain and requires a high level of clinical suspicion for diagnosis. It also remains in the differential diagnosis for patients presenting with Type 2 Myocardial Infarction. There are few randomized control trials for guideline-based prevention and treatment for coronary artery vasospasm. In this article, we review updated concepts in coronary artery vasospasm. Specifically, our aim is to provide current evidence of pathophysiology, identify the risk factors, propose a diagnostic algorithm, and review available evidence of evolving therapies as well as indication and identification of patients who would benefit from AICD.

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Faculty credentials/disclosure 

Dr. Monish Sheth is a clinical assistant professor at Baylor Scott and White Medical Center in Temple, a hospitalist with a focus on the cardiac care unit. Dr. Robert Widmer is a clinical assistant professor and interventional cardiologist, experienced in valvular heart disease, cardiac catheterization, minimally invasive cardiac surgery, and health technology/informatics. Dr. Hari Dandapantula is a clinical assistant professor in the Division of Cardiology, specializing in general cardiology, heart failure and transplantation, and cardiac critical care. The authors and the CME planner report no conflicts of interest.

Process

Click the take course button, pay any relevant fee, take the quiz, complete the evaluation, and claim your CME credit. You must achieve 100% on the quiz with unlimited attempts available.

  • By completing this process, you are attesting that you have read the journal article.

  • By claiming ABIM MOC credit you are providing permission to have your data uploaded into the Accreditation Council for Continuing Medical Education (ACCME) system for transfer to the American Board of Internal Medicine (ABIM).

You will need to verify that your profile contains your correct birthdate (mm/dd) and ABIM diplomate number. For your convenience, please click here to verify your ABIM diplomate number.

Expiration date

Credit eligibility for this article is set to expire on May 1, 2023.

Target Audience

All physicians

Learning Objectives

After completing the article, the learner should be able to:

  • Discuss the current evidence on the pathophysiology of coronary artery vasospasm
  • Identify the risk factors for coronary artery vasospasm
  • Diagnose and treat coronary artery vasospasm
  • Identify patients who would benefit from an automatic implantable cardioverter defibrillator
Course summary
Available credit: 
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 1.00 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.00 Attendance
Course opens: 
01/01/2023
Course expires: 
05/01/2023
Cost:
$25.00
Rating: 
0

Accreditation

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation

AMA PRA Category 1 Credit™

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification (MOC)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 1.00 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.00 Attendance

Price

Cost:
$25.00
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