Angiographic demonstration of inhibition of methyl-ergonovine-induced coronary vasospasm in a patient with sudden death.
A case is presented illustrating the association of spontaneous coronary vasospasm with sudden death. Serial angiography and challenge with methyl-ergonovine were performed to document the effectiveness of medial therapy. The use and safety of ergonovine testing in patients with spasm-related sudden death are reviewed.
Cutler
D
D
Department of Medicine, Emory University, School of Medicine, Emory Hospital, Atlanta, Georgia, USA.
Ghazzal
Z
Z
Deam
G
G
Walter
P
P
D000328:Adult; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D003329:Coronary Vasospasm / Q000150:complications / Q000209:etiology* / Q000503:physiopathology; D004359:Drug Therapy, Combination; D004874:Ergonovine / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000517:prevention & control; D006801:Humans; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D004874:Ergonovine