Recurrent ST-segment elevations in a patient without significant coronary disease

Iida, Ryoji; Yazaki, Satoshi; Saeki, Shigeru; Ogawa, Setsuro

doi:10.1016/j.jclinane.2004.08.013

Cited by 10 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the operating room setting, because of existing monitoring and given the known medical history of the patient, coronary spasm could be more easily diagnosed and resuscitation could be attempted with nitrates. 1,2 On the basis of our experience with this case report, the literature, and the fact that CAS in the absence of coronary disease is usually managed with nitrates, we recommend not to use epinephrine/adrenaline as a first-line drug if a cardiac arrest situation is caused by CAS. Because ventricular tachycardia and VF are regularly observed with the occurrence of CAS, defibrillation followed by nitrates is immediately indicated when coronary spasm clearly induces intractable ventricular arrhythmia.…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Management of cardiac arrest caused by coronary artery spasm: Epinephrine/adrenaline versus nitrates

et al. 2009

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 93%

“…Previous case reports have described the use of nitrates during cardiac arrest situations caused by CAS with successful outcome by avoiding epinephrine/adrenaline. 1,2 …”

mentioning

confidence: 99%

Management of cardiac arrest caused by coronary artery spasm: Epinephrine/adrenaline versus nitrates

et al. 2009

View full text Add to dashboard Cite

“…Management of cardiac arrest: Some case reports have described the use of nitrates during VA-induced cardiac arrest with successful outcome by avoiding adrenaline 9 , 10 . In our patient, we, however, gave adrenaline during CPR and did not find it detrimental.…”

Section: Discussionmentioning

confidence: 58%

Variant angina in chronic kidney disease: a case report of an unusual presentation of cardiac arrest following dialysis

Mishra

Roguin²

2017

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Variant angina (VA) is described as a relatively benign syndrome of unprovoked chest pain and electrocardiographic (ECG) changes. Chronic kidney disease (CKD) may be associated with this syndrome. However, the incidence of severe manifestations of VA in this patient cohort with kidney disease has not been elucidated. Also, no description has been made of coronary vasospam in relation to dialysis sessions. Our patient, a young female with CKD, had an unusual history of angina following dialysis sessions and she suffered an acute coronary syndrome complicated by cardiac arrest. The diagnosis was made on the basis of her clinical features, dynamic ECG changes, and coronary angiogram findings, and the patient was managed medically. Severe manifestations of VA may occur in chronic kidney disease, and this should be kept in mind by the treating physician. The association of coronary vasospasm with dialysis needs further analysis.

show abstract

“…Coronary artery spasm is not an uncommon event, but its pathophysiologic mechanisms followed by coronary artery vasospasm are not yet completely clarified. Coronary endothelial dysfunction and a variety of nonspecific vasoconstrictive stimuli factors such as α-adrenergic stimulation, β-adrenergic blockade, and altered sympathovagal balance could be the main causes of coronary artery spasm [1,2]. Patients with coronary artery spasm typically describe chest pain symptoms, usually occurring in the early hours of the morning patient's hemodynamics was barely able to maintain.…”

Section: Discussionmentioning

confidence: 99%

Coronary Artery Spasm is a Nightmare: A Rare Case of Multi Vessel Coronary Artery Spasm

Jy¹,

Chen²

2016

J Vasc Med Surg

View full text Add to dashboard Cite

Coronary artery spasm is not an uncommon event, but its pathophysiologic mechanisms followed by coronary artery vasospasm are not yet completely clarified. Coronary artery spasm can lead to sudden cardiac death due to ventricular arrhythmias or heart block. In the cases of cardiogenic shock secondly to severe coronary artery spasm, IABP is sufficient to support the patient's hemodynamics, in the other cases of severe cardiogenic shock or cardiac arrest secondly to severe coronary artery spasm, IABP is not sufficient to support the patient's hemodynamics and more advanced mechanical circulatory support devices such as veno-arterial ECMO should be performed. This report describes a case of severe multi vessel coronary artery spasm leading to cardiac arrest, cardiogenic shock and cardiac death although using the first-class heart circulation assist device, and illustrates IABP and ECMO support for acute cardiac dysfunction secondary to diffuse multivessel coronary artery spasm was fruitless labour sometimes.

show abstract

Recurrent ST-segment elevations in a patient without significant coronary disease

Cited by 10 publications

References 28 publications

Management of cardiac arrest caused by coronary artery spasm: Epinephrine/adrenaline versus nitrates

Management of cardiac arrest caused by coronary artery spasm: Epinephrine/adrenaline versus nitrates

Variant angina in chronic kidney disease: a case report of an unusual presentation of cardiac arrest following dialysis

Coronary Artery Spasm is a Nightmare: A Rare Case of Multi Vessel Coronary Artery Spasm

Contact Info

Product

Resources

About