Vasospasm in smooth coronary arteries as a cause of asystole and syncope.
In a patient with proven myocardial infarction, coronary artery disease was excluded angiographically. Four weeks later the patient experienced recurrent syncope of unknown cause. By means of Holter monitoring, ST-segment elevation with subsequent first-degree AV block progressing to asystole and resulting in loss of consciousness were documented. Treatment with gallopamil and a VVI-pacemaker led to complete relief of all symptoms. Hence, Prinzmetal's angina may be a rare cause of syncope even in smooth coronary arteries.
Unverdorben
M
M
Center for Cardiovascular Diseases, Rotenburg/Fulda, Germany.
Haag
M
M
Fuerste
T
T
Weber
H
H
Vallbracht
C
C
D000788:Angina Pectoris, Variant / Q000150:complications; D002304:Cardiac Pacing, Artificial; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000150:complications* / Q000628:therapy; D015716:Electrocardiography, Ambulatory; D005711:Gallopamil / Q000627:therapeutic use; D006323:Heart Arrest / Q000209:etiology* / Q000503:physiopathology; D006327:Heart Block / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis; D012008:Recurrence; D013575:Syncope / Q000209:etiology*; D013997:Time Factors; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D005711:Gallopamil