A case of coronary vasospasm-induced ventricular fibrillation without significant coronary artery disease.
- Author:
Sung Kyoon PARK
1
;
Jong Sang KIM
;
Jae Hee JANG
;
Yoon Jong SEO
;
Ja Be PARK
;
Jung Chul JOO
;
Dong Jun WON
Author Information
1. Department of Internal Medicine, Seoul Adventist Hospital, Seoul, Korea. ttushi@hanmail.net
- Publication Type:Case Report
- Keywords:
Angina pectoris, Variant;
Coronary vasospasm;
Ventricular fibrillation
- MeSH:
Angina Pectoris;
Angina Pectoris, Variant;
Arrhythmias, Cardiac;
Coronary Artery Disease;
Coronary Vasospasm;
Coronary Vessels;
Death, Sudden;
Humans;
Myocardial Infarction;
Myocardial Ischemia;
Ventricular Fibrillation
- From:Korean Journal of Medicine
2009;77(6):759-763
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary vasospasm plays an important role in the pathogenesis not only of variant angina, but also of ischemic heart disease in general, including other forms of angina pectoris, acute myocardial infarction, and sudden death. Vasoactive events leading to an acute reduction in regional myocardial flow in the presence of a normal or previously compromised circulation are a common cause of arrhythmias. However, coronary vasospasm-induced electrical and mechanical complications are rarely reported in patients with angiographically normal or near-normal coronary arteries. This paper presents our experience with a patient presenting with coronary vasospasm-associated ventricular fibrillation without findings of significant coronary artery disease.
