Table 1.
Summary of Previous Hospital Visits for Chest Pain and Coronary Artery Spasm
| Type of Hospital Visit | Cardiac Diagnosis | Angiography Performed | Angiogram Findings/Interventions | Days From Current Admission |
|---|---|---|---|---|
| Hospital admission | Inferior STEMI | Yes | Diffuse severe narrowing of the RCA resulting in DES insertion from proximal to distal RCA | 727 |
| Hospital admission | NSTEMI | Yes | RCA stents patent, query coronary artery spasm | 724 |
| ED visit with discharge | Chest pain | No | — | 730 |
| ED visit with discharge | Chest pain | No | — | 696 |
| Hospital admission | NSTEMI | Yes | Nitrate-responsive diffuse LAD spasm | 677 |
| Hospital admission | Anterolateral STEMI | Yes | Significant distal LAD narrowing not responsive to intracoronary nitroglycerin DES insertion to the distal LAD |
530 |
| Continuation of previous admission | NSTEMI | Yes | Persistent chest pain with new mid-LCx narrowing responsive to intracoronary nitroglycerin | 524 |
| ED visit with discharge | Chest pain | No | — | 459 |
| ED visit with discharge | Chest pain | No | — | 160 |
| Hospital admission | Inferior STEMI | Yes | Diffuse coronary spasm responsive to intracoronary nitroglycerin | 143 |
| Current hospital admission | Inferior STEMI | Yes | Severe ramus intermedius narrowing responsive to intracoronary nitroglycerin | — |
DES = drug-eluting stent; ED = emergency department; LAD = left anterior descending (artery); LCx = left circumflex artery; NSTEMI = non–ST-segment elevation myocardial infarction; RCA = right coronary artery; STEMI = ST-segment elevation myocardial infarction.