Sudden Death Caused by Reperfusion Ventricular Tachyarrhythmia in a Patients with Variant Angina.
10.4070/kcj.1991.21.6.1242
- Author:
Chang Hwan BAE
;
Kwang Kon KOH
;
Sun Hae KIM
;
Chi Yeol KIM
;
Tae Byeng PARK
;
Min Jun CHOI
;
Sang Kyoon CHO
;
Sam Soo KIM
- Publication Type:Case Report
- Keywords:
Coronary artery spasm;
Reperfusion ventricular tachyarrhythmia;
Sudden death
- MeSH:
Adult;
Cardiopulmonary Resuscitation;
Coronary Vasospasm;
Death, Sudden*;
Electric Countershock;
Humans;
Isosorbide Dinitrate;
Lidocaine;
Myocardial Infarction;
Nitroglycerin;
Reperfusion*;
Spasm;
Tachycardia*
- From:Korean Circulation Journal
1991;21(6):1242-1245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The coronary vasospasm has usually been readily reversible by sublingual, intravenous or intracoronary nitroglycerin. Relief of spasm, either spontaneous or following nitrate therapy, results in reperfusion. Occurence of ventricular tachyarrhythmia during release of coronary spasm is attractive as a possible cause of sudden death because of significant proportion of sudden death victims do not have acute myocardial infarction. Recently, we experienced a 36 year old man who developed spontaneous coronary vasospasm, and the patients suffered from repetitive reperfusion ventricular tachyarrhythmia, and died suddenly in spite of administration of isosorbide dinitrate, lidocaine and several trials of cardioversion and cardiopulmonary resuscitation, and we report.
