Coronary vasospasm-induced polymorphic ventricular tachycardia: a case report and literature review.
Eur Heart J Case Rep
; 2(1): yty021, 2018 Mar.
Article
em En
| MEDLINE
| ID: mdl-31020100
ABSTRACT
INTRODUCTION:
Coronary vasospasm is an uncommon but important cause of myocardial ischaemia and ventricular arrhythmias. CASE PRESENTATION In this report, we present a striking example of vasospasm manifesting as ST-segment elevation and ventricular tachycardia on Holter monitoring. Later, spasm occurred during a procainamide challenge performed for suspected Brugada syndrome. The patient underwent implantable cardioverter-defibrillator insertion and was successfully treated with oral calcium channel blocker.DISCUSSION:
We review contemporary data regarding management and outcomes in coronary vasospasm and discuss the use of implantable defibrillator therapy in patients who have sustained a significant arrhythmic event.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Eur Heart J Case Rep
Ano de publicação:
2018
Tipo de documento:
Article