title: [Therapy options for Prinzmetal angina induced ventricular vulnerability].
abstract: We report about a 46 year old male, who survived sudden cardiac death caused by recurrent ventricular tachycardia as the clinical manifestation of a vasospastic right coronary artery. After implantation of an implantable cardioverter defibrillator, the patient did not respond to conservative treatment despite of different drug therapies. Therefore, the vasospastic right coronary artery was treated by a percutaneous transluminal coronary angioplasty and stenting, which could not reduce the occurrence of further tachycardias. Finally, the patient underwent an operative myocardial revascularization combined with sympathectomy. During the whole follow-up of six months no new episodes of ventricular tachyarrhythmias have occurred.
authors.affiliation: Herzzentrum Wuppertal, Universität Witten/Herdecke, Kardiologie, Medizinische Klinik 3, Arrenberger Str. 20, 42117 Wuppertal, Germany. nollenshin@gmx.de
authors.forename: D-I
authors.initials: DI
authors.lastname: Shin
authors.forename: M
authors.initials: M
authors.lastname: Horlitz
authors.forename: G
authors.initials: G
authors.lastname: Haltern
authors.forename: W
authors.initials: W
authors.lastname: Krölls
authors.forename: M
authors.initials: M
authors.lastname: Coll
authors.forename: A
authors.initials: A
authors.lastname: Bufe
authors.forename: H
authors.initials: H
authors.lastname: Lapp
authors.forename: H
authors.initials: H
authors.lastname: Gülker
mesh_terms: D000788:Angina Pectoris, Variant / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary; D017147:Defibrillators, Implantable; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D055502:Secondary Prevention; D015607:Stents; D013562:Sympathectomy; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D017211:Treatment Failure
vernacular_title: Therapieoptionen einer Prinzmetal-Angina induzierten ventrikulären Vulnerabilität.