title: Recurrent ventricular fibrillation caused by coronary artery spasm leading to implantable cardioverter defibrillator implantation.
abstract: Coronary artery spasm has been known to induce ischaemia and ventricular arrhythmias. We present a case of recurrent ventricular fibrillation caused by spasm-associated transmural myocardial ischaemia. During an intra-coronary acetylcholine provocation test, severe coronary spasm could be induced. The patient was treated with a hybrid approach of medication and an implantable defibrillator.
authors.affiliation: Department of Cardiology, VU University Medical Centre, Amsterdam, The Netherlands. t.hendriks@vumc.nl
authors.forename: Matthijs L
authors.initials: ML
authors.lastname: Hendriks
authors.forename: Cornelis P
authors.initials: CP
authors.lastname: Allaart
authors.forename: Jean G F
authors.initials: JG
authors.lastname: Bronzwaer
authors.forename: Jan J C
authors.initials: JJ
authors.lastname: Res
authors.forename: Carel C
authors.initials: CC
authors.lastname: de Cock
mesh_terms: D003329:Coronary Vasospasm / Q000150:complications* / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D006801:Humans; D008875:Middle Aged; D018497:Ventricular Dysfunction, Right / Q000209:etiology* / Q000517:prevention & control*; D014693:Ventricular Fibrillation / Q000209:etiology* / Q000517:prevention & control*