TY - JOUR AU - Doğan, Mert AU - Kaya, Ergün Barış AU - Deniz, Çiğdem AU - Canpolat, Uğur AU - Şahiner, Mehmet Levent AU - Ateş, Ahmet Hakan AU - Aytemir, Kudret PY - 2023/03/30 Y2 - 2024/03/29 TI - Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest JF - European Journal of Therapeutics JA - Eur J Ther VL - 29 IS - 1 SE - Original Articles DO - 10.58600/eurjther-186 UR - https://eurjther.com/index.php/home/article/view/186 SP - 94-96 AB - <p>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.</p> ER -