Cardiac arrest related to coronary spasm in patients with variant angina: a three‐case study

We present three patients with variant angina pectoris and episodes of cardiac arrest. All of them had typical clinical symptoms, ST‐segment changes in electrocardiogram, and coronary artery spasm confirmed by arteriography. They were treated with high doses of calcium antagonists and nitrates. An a...

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Bibliographic Details
Published in:Journal of internal medicine 2002-10, Vol.252 (4), p.368-376
Main Authors: Seniuk, W., Mularek‐Kubzdela, T., Grygier, M., Grajek, S., Cieśliński, A.
Format: Article
Language:English
Subjects:
Amiodarone - administration & dosage
Amiodarone - therapeutic use
Angina Pectoris, Variant - complications
Angina Pectoris, Variant - diagnosis
Angina Pectoris, Variant - diagnostic imaging
Angina Pectoris, Variant - drug therapy
Anti-Arrhythmia Agents - administration & dosage
Anti-Arrhythmia Agents - therapeutic use
Aspirin - administration & dosage
Aspirin - therapeutic use
Biological and medical sciences
calcium channel blockers
Calcium Channel Blockers - administration & dosage
Calcium Channel Blockers - therapeutic use
Cardiac arrest
Cardiology. Vascular system
Cardiovascular Agents - administration & dosage
Cardiovascular Agents - therapeutic use
Coronary Angiography
Coronary heart disease
Diltiazem - administration & dosage
Diltiazem - therapeutic use
Electrocardiography
Female
Follow-Up Studies
Heart
Heart Arrest - etiology
Heart Arrest - therapy
Heart Block - diagnosis
Heart Block - etiology
Heart Block - therapy
Humans
Male
Medical sciences
Middle Aged
Nitrates - administration & dosage
Nitrates - therapeutic use
Nitroglycerin - administration & dosage
Nitroglycerin - therapeutic use
Pacemaker, Artificial
Platelet Aggregation Inhibitors - administration & dosage
Platelet Aggregation Inhibitors - therapeutic use
Spasm - etiology
Time Factors
variant angina pectoris
Vasodilator Agents - administration & dosage
Vasodilator Agents - therapeutic use
Ventricular Fibrillation - etiology
Ventricular Fibrillation - therapy
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Description
Summary:We present three patients with variant angina pectoris and episodes of cardiac arrest. All of them had typical clinical symptoms, ST‐segment changes in electrocardiogram, and coronary artery spasm confirmed by arteriography. They were treated with high doses of calcium antagonists and nitrates. An automatic cardioverter‐defibrillator was implanted in the patient who developed ventricular fibrillation despite therapy with calcium antagonists. In another patient a DDD pacemaker was implanted because of high‐degree atrioventricular block.
ISSN:0954-6820
1365-2796
DOI:10.1046/j.1365-2796.2002.01044.x