Vasospasm-induced heart block.
A syncopal episode in an elderly patient with a history of carotid disease, multiple cardiac risk factors, and new onset chest pain presents diagnostic challenges. This case study describes the experience of a woman with coronary vasospasm accompanied by conduction deficits. The patient's history, diagnostic work-up, and treatment program are presented. The relationship between the coronary artery anatomic defects and the conduction abnormalities are discussed.
McCauley
K
K
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Lloyd
C
C
Herrmann
H C
HC
Pavri
B B
BB
D000368:Aged; D002304:Cardiac Pacing, Artificial; D003329:Coronary Vasospasm / Q000150:complications*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006329:Heart Conduction System / Q000000981:diagnostic imaging; D006801:Humans; D011877:Radionuclide Imaging; D013575:Syncope / Q000209:etiology