AUTHOR=Solis-Jimenez Fabio , Gonzalez-Ortiz Araceli , Larios-Lara Juan H. , Castro-Garcia Carlos A. , Arteaga-Chan Eduardo I. , Velazquez-Sanchez Fernando , Vargas-Estrada Jorge L. , Ramirez-Marcano Erika Y. , Garaygordobil Diego Araiza , Briseño De La Cruz Jose L. , Gopar-Nieto Rodrigo , Martinez Daniel Sierra-Lara , Arias-Mendoza Alexandra 

TITLE=Case report: Polyarteritis nodosa as a substrate for a massive myocardial infarction

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=9

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.1070378

DOI=10.3389/fcvm.2022.1070378

ISSN=2297-055X

ABSTRACT=<p>This report describes a rare case of a global myocardial infarction caused by severe vasospasm of the coronary arteries secondary to the administration of pyridostigmine in a patient with polyarteritis nodosa (PAN). Details about the clinical presentation, the typical electrocardiographic pattern of multivessel disease, the differential diagnoses suspected in the multi-imaging approach, and the treatment of cardiogenic shock are described. The definitive diagnosis of infarction and the histopathological findings compatible with polyarteritis nodosa were made by autopsy.</p>