Vasospastic angina without flow-limiting coronary lesions as a cause for aborted sudden death.
Two patients resuscitated from out-of-hospital cardiac arrest were later found to have minor coronary atherosclerosis and no inducible ventricular arrhythmia. Coronary spasm was not elicited during provocative tests but occurred on introduction of the catheter in the right coronary artery and spontaneously recurred after resuscitation, leading to myocardial infarction in one patient. Both patients received an implantable cardioverter defibrillator and subsequent discharges, while receiving calcium antagonists.
Lacroix
D
D
Cardiology Department, Hôpital Cardiologique, University of Lille, France.
Kacet
S
S
Lekieffre
J
J
D000328:Adult; D000787:Angina Pectoris / Q000150:complications*; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D003324:Coronary Artery Disease / Q000150:complications; D003329:Coronary Vasospasm / Q000150:complications*; D003645:Death, Sudden / Q000209:etiology*; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D017180:Tachycardia, Ventricular / Q000209:etiology; D014693:Ventricular Fibrillation / Q000209:etiology
D002121:Calcium Channel Blockers