We report a case of coronary slow flow phenomenon (CSFP) in a patient who underwent coronary angiography due to anginal chest pain, and recurrent syncope with complete normalization of flow after intracoronary adenosine. The patient was noted to have multiple episodes of nonsustained ventricular tachycardia (VT) on holter monitor and increased QTc dispersion on surface electrocardiogram (ECG). He responded very well to oral dipyridamole therapy with complete resolution of his symptoms and no episodes of VT on the event recorder at 3 mo. We reviewed the diagnosis and clinical features of CSFP and its association with increased QTc dispersion, and the role of oral dipyridamole therapy in this condition.

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The angiographic suitability for VCD was not different between FG and TALG groups. Fluoroscopy decreased the number of low arteriotomies. The time to sheath insertion, number of arterial punctures needed to obtain access, and the incidence of complications were also similar.

US Department of Veterans Affairs Cooperative Studies Program.

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