Van Hougenhouck-Tulleken, Wesley G.Ueckermann, Veronica2020-03-132020-03-132019-07Van Hougenhouck-Tulleken, W.G. & Ueckermann, V. 2019, 'An unexpected acute coronary syndrome', Southern African Journal of Critical Care, vol. 35, no. 2, pp. 26-27.1562-8264 (print)2078-676X (online)10.7196/SAJCC.2019.v35i1.386http://hdl.handle.net/2263/73741Acute coronary syndromes due to coronary artery vasospasm occur rarely and are difficult to diagnose in the acute setting. We present a patient with hypocalcaemia-induced coronary artery vasospasm, which resulted in an acute ST-elevation myocardial infarction. This was reversible upon administering intravenous calcium, with no long-term cardiac consequences for our patient.en© 2019 Health and Medical Publishing Group. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0).Acute coronary syndromeBridging myocardiumChronic kidney diseaseHypocalcaemiaPancreatitisArticle