Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation
Joint Authors
Rathod, Vrijraj Sinhji
Kanitkar, Tanmay
Karamasis, Grigoris
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-07
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We present a case of ventricular fibrillation (VF) secondary to ischaemia induced by coronary artery spasm.
An 82-year-old man initially presented with an out-of-hospital VF arrest.
On return of spontaneous circulation (ROSC), he was found to be in fast atrial fibrillation (AF); an invasive coronary angiogram revealed unobstructed coronary arteries.
During his hospital stay, he developed chest pain, with concomitant ST elevation on ECG (electrocardiogram), which spontaneously resolved.
A repeat coronary angiography revealed coronary spasm.
Later, he had further ST elevation resulting in ventricular fibrillation.
It became clear his initial presentation was most likely due to coronary vasospasm rather than a plaque-rupture or ventricular scar-related event, and he was thus successfully treated with multiple vasodilators and an implantable cardiac defibrillator.
This case report highlights how conventional imaging modalities may not always lead to a diagnosis.
American Psychological Association (APA)
Rathod, Vrijraj Sinhji& Kanitkar, Tanmay& Karamasis, Grigoris. 2020. Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146179
Modern Language Association (MLA)
Rathod, Vrijraj Sinhji…[et al.]. Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation. Case Reports in Cardiology No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1146179
American Medical Association (AMA)
Rathod, Vrijraj Sinhji& Kanitkar, Tanmay& Karamasis, Grigoris. Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146179
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146179