Indication for Defibrillator Implantation in a Patient With Prinzmetal's Angina and Syncopes

Guzzo-Merello, Gonzalo; Romero-Tejero, Claudio; García-Cosío, Francisco; Martínez-Elbal, Luis

doi:10.1016/s1885-5857(09)72364-3

Cited by 6 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, it is not surprising that diltiazem would reduce the cardiovascular event rate by reducing angina frequency as was shown by the results of Schroeder et al [18]. Clinical guidelines do not recommend the implantation of an ICD because the variant angina induced arrhythmia are secondary to an acute ischemia that may be controlled by medical therapy [22]. This issue can be corroborated by the finding that relapses and inefficient ICD treatments was most likely related to insufficient medical treatment and extensive ischemia [23].…”

Section: Discussionmentioning

confidence: 99%

“…Our case that responded well to the combination of calcium channel blocker with cessation of the arrhythmia occurrence, leads us to re-evaluate the indication for ICD implantation if this dual therapy may abort the appearance of those life-threatening arrhythmias. Thus, It is necessary to carry out studies that evaluate the indication criteria for ICD as secondary prevention of potentially lethal arrhythmias due to coronary vasospasm [22].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Variant Angina Induced Life-Threatening Ventricular Arrhythmias: does Dual Calcium Channel Blocker Eliminates the Indication for Implantable Cardioverter Defibrillator?

Matar¹

2016

Clin Med Rev Case Rep

View full text Add to dashboard Cite

A 49-year-old white female tailor that works for a subcontractor at Clemenceau medical center, had in 25/10/2010, a severe substernal chest pain with left shoulder and bilateral arm pain, followed by near collapse. Nursing staff at the hospital who is very well acquainted with her, since she is an extremely gentle person, rushed and connected her to a monitor that showed a polymorphic ventricular tachycardia followed by ventricular fibrillation. Electrical cardioversion with 100 joules biphasic shockwas done and normal sinus rhythm restored.Her past medical history is significant for a similar episode one year ago. At that time she had chest pain, and contacted her cardiologist who asked her to come to the hospital for check up and to undergo an exercise stress test since she had no risk factors. She presented an hour later to emergency department with a cardiac arrest that was appropriately resuscitated. Echocardiogram, cardiac catheterization was normal.Severe vasospasm diagnosed and she was started on calcium blockers, nitrates, and antiplatelet agents and did well during the interim period. She is on Amlodipine 5 mg once daily, Molsidomine 4 mg TID and Aspirin 100 mg once daily. Family history is significant for an aunt from her father's side that died at age 22 with an unknown cause. She has no known allergies (Figure 1, Figure 2, Figure 3, Figure 4, Figure 5 and Figure 6). The angiography showed diffuse

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%