Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest


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DOI:

https://doi.org/10.58600/eurjther-186

Keywords:

Vasospastic coronary angina, Sudden cardiac arrest, Sympatectomy

Abstract

Coronary artery vasospasm (CAVS) is a clinical entity that can cause angina, but also unstable angina pectoris, acute myocardial infarction, fatal arrhythmias, and sudden death. Although it is a condition that is usually controlled with medical treatment, more aggressive treatments may rarely be required. In this case, the patient with a known diagnosis of CAVS had multiple arrests despite optimal medical treatment. We observed that fatal arrhythmias persisted in the Implantable Cardioverter Defibrillator (ICD) records, even though we implanted a stent and gave the patient maximal medical treatment. We performed sympathectomy as a last resort and we did not detect any recurrence in the 6-month follow-up of the patient. ICD implantation and sympathectomy should always be considered in resistant CAVS cases.

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Published

2023-03-30

How to Cite

(1)
Doğan, M.; Kaya, E. B.; Deniz, Çiğdem; Canpolat, U.; Şahiner, M. L.; Ateş, A. H.; Aytemir, K. Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient With Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. Eur J Ther 2023, 29, 94-96.

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