The Relationship between Paroxysmal Atrial Fibrillation and Coronary Artery Spasm

Kawakami, Takako; Ohno, Hiroyoshi; Tanaka, Norihiro; Ishihara, Hiroki; Kobayakawa, Hiroko; Sakurai, Takeshi

doi:10.1111/pace.12299

Cited by 10 publications

(8 citation statements)

References 35 publications

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“…Similarly, cardiac arrhythmias such as a ventricular arrhythmia or atrioventricular block have been frequently reported as a result of coronary vasospasm [9]. However, supraventricular arrhythmias related to coronary spasm are extremely rare, although Kawakami et al [10] In summary, we observed that paroxysmal atrial fibrillation, which may be induced by prolonged coronary spasm, can cause sinus bradycardia. The mechanism is unclear, although it may be related to sinus node ischemia, which can cause such symptoms as palpitations, syncope, and dizziness.…”

Section: Discussionsupporting

confidence: 57%

A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

et al. 2015

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Paroxysmal atrial fibrillation may be induced by coronary spasm presenting with typical angina-like pain and palpitations. It is typically treated using rate or rhythm control strategies, although sustained coronary spasm can induce sinus bradycardia with dizziness and syncope. In the present case, we reached a diagnosis of paroxysmal atrial fibrillation and sinus bradycardia due to coronary artery spasm using the methyl-ergonovine provocation test during angiography. While the treatment of coronary spasm can resolve paroxysmal atrial fibrillation, sinus bradycardia, and variant angina, the mechanism remains unclear, although it may be associated with sinus node ischemia. Similar symptoms, particularly chest discomfort, should be carefully considered in cases of paroxysmal atrial fibrillation.

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Section: Discussionsupporting

confidence: 57%

A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

et al. 2015

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“…Kawakami et al evaluated 17 patients with paroxysmal AF (AF group) and 34 patients without paroxysmal AF (control group). Coronary artery spasm was induced in 13 patients (76.5%) before AF ablation in the AF group, while being induced in only 3 patients (8.8%) in the control group [4] .…”

Section: Discussionmentioning

confidence: 90%

Three cases of vasospastic angina following catheter ablation of atrial fibrillation

Kagawa

Fujii

Fujita

et al. 2017

Journal of Arrhythmia

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Pulmonary vein isolation is an effective treatment for patients with atrial fibrillation (AF).Although vasospastic angina (VSA) is not a common complication after ablation of AF, we report 3 cases of VSA following ablation of persistent AF. Two of the 3 patients felt chest pain following pulmonary vein isolation, and complex fractionated atrial electrogram ablations were performed. ST elevation in the inferior leads and atrioventricular block occurred because of severe coronary vasospasm. In the third patient, the electrocardiography monitor detected transient ST elevation within an hour after ablation. Treatment of VSA may be required following catheter ablation of AF.

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“…As to why this occurs, Kawakmi, et al found that AF patients seem to have higher rates of drug provoked coronary spasm, implying baseline autonomic differences in AF patients. Spasm in our case was limited to the RCA, which has been suggested to be more susceptible to vagally mediated vasospasm than the left coronary system [8] . Signs and symptoms in prior reported cases have varied from transient with normal angiography [9] to cardiac arrest requiring cardiopulmonary resuscitation [10] .…”

Section: Discussionmentioning

confidence: 52%

Comparing Safety and Efficacy of Dabigatran and Factor Xa Inhibitors for Stroke Prevention in Hemophiliacs with Non-Valvular Atrial Fibrillation

Howard¹,

Rojas-Delgado

Schutt

et al. 2019

Journal of Atrial Fibrillation

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Coronary artery spasm during catheter ablation for arrhythmias is a rare but previously reported complication. Timing of presentation, manifestations of vasospasm, and purported mechanisms vary somewhat in the prior literature. We present a case of chest pain, inferior lead ST elevation, and complete AV block with angiographically confirmed right coronary artery (RCA) vasospasm that occurred immediately after catheter ablation for atrial fibrillation.

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The Relationship between Paroxysmal Atrial Fibrillation and Coronary Artery Spasm

Abstract: Paroxysmal AF patients have high positive rates of drug-provoked coronary artery spasm. Patients with paroxysmal AF may coincidentally exhibit coronary artery spasm.

Cited by 10 publications

References 35 publications

A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

Three cases of vasospastic angina following catheter ablation of atrial fibrillation

Comparing Safety and Efficacy of Dabigatran and Factor Xa Inhibitors for Stroke Prevention in Hemophiliacs with Non-Valvular Atrial Fibrillation

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