Cardiopulmonary resuscitation during coronary vasospasm induced by tilt table testing.
A 65-year-old man presented to our institution with recurrent episodes of early morning chest discomfort and near syncope. An ergonovine provocation test documented a diagnosis of coronary vasospastic angina. Using our investigation of the syncope, a head-up tilt table test provoked a severe episode of coronary vasospasm that resulted in a life-threatening cardiac event. The present case reminds us that an elevation of ST segments on the electrocardiogram during tilt testing should be promptly managed as an attack of coronary vasospasm.
Wang
C H
CH
Cardiology Section, Department of Medicine, Chang Gung Medical College, Chang Gung Memorial Hospital, Keelung, Taiwan.
Hung
M J
MJ
Kuo
L T
LT
Cherng
W J
WJ
D000368:Aged; D016887:Cardiopulmonary Resuscitation; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D018667:Tilt-Table Test / Q000009:adverse effects*