Coronary Spastic Angina and Life Threatening Arrhythmia despite Nitroglycerine Infusion.
10.12771/emj.2014.37.1.56
- Author:
Kyoung Hwang SHIN
1
;
Woo Hee CHO
;
Do Hyun LEE
;
Sora LEE
;
Seong Hoon LIM
Author Information
1. Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea. shlimd@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary vasospasm;
Cardiac arrhythmia;
Variant angina pectoris
- MeSH:
Angina Pectoris, Variant;
Arrhythmias, Cardiac*;
Calcium Channel Blockers;
Chest Pain;
Coronary Vasospasm;
Coronary Vessels;
Electrocardiography;
Female;
Humans;
Middle Aged;
Muscle Spasticity*;
Nitrates;
Nitroglycerin*;
Spasm;
Thorax;
Vasodilator Agents;
Ventricular Fibrillation
- From:The Ewha Medical Journal
2014;37(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Variant angina pectoris is characterized by chest symptoms at rest and transient ST elevation on the electrocardiography due to coronary artery spasm. Although most patients with coronary spasm respond well to medical treatment with vasodilators such as calcium channel blockers and nitrates, some patients show intractable attack of coronary vasospasm despite standard medical therapy. We experienced 50-year-old woman with intractable chest pain due to coronary artery spasm, who suffered from ventricular fibrillation despite continuous intravenous nitrate therapy.
