Refractory coronary vasospasm and recurrent cardiac arrest.
BMJ Case Rep
; 16(1)2023 Jan 11.
Article
em En
| MEDLINE
| ID: mdl-36631170
We present a case of recurrent vasospasm as an uncommon cause of ventricular fibrillation in a young female patient who was found to have a genetic mutation of unknown significance in the desmoplakin (DSP) gene and ultimately required an implantable cardiac defibrillator and percutaneous coronary intervention. Refractory vasospasm as a cause of chest pain and cardiac arrest may be under-recognised. In this manuscript, we highlight the natural history of refractory vasospasm, treatment considerations including medical therapy, implantable cardiac defibrillator and percutaneous coronary intervention. Lastly, we explore the potential correlation between the DSP mutation and her clinical presentation and the growing importance of genetic testing in unexplained cardiac arrest.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Desfibriladores Implantáveis
/
Vasoespasmo Coronário
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Parada Cardíaca
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
BMJ Case Rep
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos