1. Coronary vasospasm and aborted sudden death treated with an implantable defibrillator and stenting.
- Author
-
Fiocca L, Di Biasi M, Bruno N, Ciuffreda M, Zumbo F, Mangiameli D, and Montenero AS
- Subjects
- Angina Pectoris, Variant physiopathology, Angina Pectoris, Variant therapy, Coronary Angiography, Coronary Vasospasm diagnosis, Coronary Vasospasm physiopathology, Coronary Vessels, Electrocardiography, Female, Humans, Middle Aged, Nitroglycerin therapeutic use, Vasodilator Agents therapeutic use, Coronary Vasospasm therapy, Death, Sudden, Cardiac prevention & control, Defibrillators, Implantable, Stents
- Abstract
In selected patients suffering from variant angina, an implantable cardioverter-defibrillator (ICD) and coronary stenting can be helpful to prevent sudden death and treat coronary artery spasm. We report a case of a 47-year-old woman suffering from variant angina, who experienced an episode of ventricular fibrillation promptly cardioverted. After coronary angiography documentation of a mild atherosclerosis, an ICD was implanted and oral nitrates and calcium antagonists were prescribed. The recurrence of chest pain and palpitations prompted us to perform a second coronary angiography that documented a focal coronary artery spasm successfully treated with stent implantation. No other episodes of angina or ventricular arrhythmia were documented during the following 6 months of follow-up.
- Published
- 2002