title: Secondary prevention of sudden cardiac death in coronary artery spasm: is implantable cardioverter defibrillator always efficient?
abstract: Syncope and/or cardiac arrest in the setting of coronary artery spasm have been associated with atrioventricular block and asystole or ventricular tachyarrhythmias. Ventricular arrhythmias have been predominantly reported in cases of multivessel coronary artery spasm. The present report highlights the case of a young woman who suffered repeated episodes of multivessel coronary artery spasm in association with polymorphic ventricular tachycardia and cardiac arrest. The efficacy of implantable cardioverter defibrillator in secondary prevention of sudden cardiac death due to coronary artery spasm is discussed.
authors.forename: Konstantinos P
authors.initials: KP
authors.lastname: Letsas
authors.forename: Gerasimos S
authors.initials: GS
authors.lastname: Filippatos
authors.forename: Michalis
authors.initials: M
authors.lastname: Efremidis
authors.forename: Antonios
authors.initials: A
authors.lastname: Sideris
authors.forename: Fotios
authors.initials: F
authors.lastname: Kardaras
mesh_terms: D000328:Adult; D003329:Coronary Vasospasm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000209:etiology* / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016896:Treatment Outcome