[Coronary vasospasm: a cause of sudden death. Case report of reversible heart arrest with spontaneous coronary spasm documented by angiography].
The authors report a case of cardiac arrest occurring in a patient who had just entered the catheter laboratory for coronary angioplasty. Opacification of the left coronary artery revealed a proximal occluding double spasm unrelated to the distal stenoses for which angioplasty had been requested. Resuscitation and antispastic therapy with intracoronary injection of a nitrate derivative resulted in a complete recovery without any sequellae. The role of coronary spasm in sudden death and the value of the ergometrine test in patients with coronary stenosis are discussed.
Guénot
O
O
Service de cardiologie interventionnelle, clinique Belledonne, Saint-Martin d'Hères.
Pellet
J
J
Terraube
P
P
Grosclaude
G
G
Couche
L
L
Legrand
M
M
Arnaud-Crozat
E
E
D017023:Coronary Angiography; D003327:Coronary Disease / Q000503:physiopathology; D003329:Coronary Vasospasm / Q000150:complications* / Q000503:physiopathology; D003645:Death, Sudden / Q000209:etiology*; D004562:Electrocardiography; D004874:Ergonovine / Q000031:analogs & derivatives; D006323:Heart Arrest / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007269:Injections, Intra-Arterial; D007548:Isosorbide Dinitrate / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged
D007548:Isosorbide Dinitrate; D004874:Ergonovine
Le spasme coronaire: une cause de mort subite. A propos d'un cas d'arrêt circulatoire réversible avec spasme coronaire spontané angiographiquement documenté.