Prinzmetal angina

Ghadri, Jelena-R.; Ruschitzka, Frank; Lüscher, Thomas F.; Templin, Christian

doi:10.1093/qjmed/hct228

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…In their ambulatory ECG follow-up study, Onaka et al[3] stated that vasospasm in multivessels or differentially localized coronary arteries is possible and that these patients can experience sudden cardiac death and malign arrhythmias. In a case presented by Ghadri et al that includes a patient admitted with typical angina and high-grade AV block, coronary arteries were normal after nitrate administration, and they successfully treated the patient with long-term calcium channel blocker and nitrate administration [4]. In a case presented by Chuang et al, [5] a case with VF arrest due to vasospastic angina and a course of pulmonary edema, it was seen that coronary anatomy was normal after nitrate administration, and treatment was performed with high-dose calcium channel blocker administration and ICD implantation.…”

Section: Discussionmentioning

confidence: 99%

Difficult Management of a Patient Presenting with Recurrent syncope Caused by Diffuz Vasospasm

Uslu

Demir

Sari

et al. 2017

North Clin Istanbul

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Spontaneous and simultaneous multivessel coronary artery spasm may present with multisite myocardial ischemia, atrioventricular block, acute lung edema, cardiogenic shock, or ventricular fibrillation. In a case of syncope caused by vasospasm, the underlying mechanism may be complex, such as atrioventricular block and/or ventricular arrhythmia. Dual implantable cardioverter defibrillator (ICD) placement should be considered along with optimal medical treatment. This report is a description of a 57-year-old male patient who was admitted to the hospital with chest pain followed by loss of consciousness. As the patient had bradycardia, a diffuse spasm, and life-threatening ventricular arrhythmia during ischemic episodes, a dual ICD device was implanted. ICD treatment may be a good option in cases with a diffuse spasm that is hard to control with medical treatment due to the risk of life-threatening ventricular arrhythmia.

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Section: Discussionmentioning

confidence: 99%