Intraplaque Hemorrhage Is a Key Finding in Sudden Cardiac Death Resulting From Coronary Vasospasm

Intraplaque hemorrhage is among the most important factors associated with plaque instability and atherosclerotic progression. It is also reported to be associated with cardiac sudden death and coronary vasospasm. We report the case of a patient with cardiopulmonary arrest caused by acute myocardial infarction secondary to coronary vasospasm where intraplaque hemorrhage was observed in the culprit vessel. This is an extremely important case report that demonstrates the associations among coronary vasospasm, intraplaque hemorrhage, and sudden cardiac death with comprehensive cardiovascular imaging.