Recurrent ventricular fibrillation caused by coronary artery spasm leading to implantable cardioverter defibrillator implantation.
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.
Hendriks
Matthijs L
ML
Department of Cardiology, VU University Medical Centre, Amsterdam, The Netherlands. t.hendriks@vumc.nl
Allaart
Cornelis P
CP
Bronzwaer
Jean G F
JG
Res
Jan J C
JJ
de Cock
Carel C
CC
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*