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Vasospastic angina following COVID-19 vaccine-related myocarditis: an underlying cause of chest pain

Published online by Cambridge University Press:  11 January 2023

Atsushi Tanaka Open the ORCID record for Atsushi Tanaka [Opens in a new window] ,
Shoji Fukuoka  and
Hazumu Nagata Open the ORCID record for Hazumu Nagata [Opens in a new window]
Atsushi Tanaka
Affiliation:
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Shoji Fukuoka
Affiliation:
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Hazumu Nagata*
Affiliation:
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Author for correspondence: H. Nagata, Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Tel: +81-92-642-5421; Fax: +81-92-642-5435. E-mail: nagata.hazumu.286@m.kyushu-u.ac.jp
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Abstract

We present a 13-year-old boy who had recurrent chest pain with elevated cardiac enzymes and abnormal ST segments in electrocardiogram 36 hours after the second dose of BNT162b2 vaccination. Cardiac MRI and coronary angiography with acetylcholine provocation confirmed myocarditis and vasospastic angina, respectively. Coronary vasospasm may play a pivotal role in the chest pain in COVID-19 vaccine-related myocarditis.

Keywords

COVID-19 vaccinemyocarditiscoronary vasospasmvasospastic angina
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 6 , June 2023 , pp. 1015 - 1017
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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