Korean J Med.
2009 Apr;76(Suppl 1):S76-S80.
A case of complete atrioventricular block persisting for 5 days in a patient with variant angina
- Affiliations
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- 1Department of Internal Medicine, Masan Samsung Medical Center, Sungkyunkwan University School of Medicine, Masan, Korea. angio2000@hanmail.net
Abstract
- Variant angina is more common in Asian people, including Koreans. Variant angina has a broad spectrum of clinical manifestations, from intermittent non-exertional pain to syncope and sudden cardiac death. Complete atrioventricular block is a major cause of syncope in patients with variant angina. The complete atrioventricular block related to variant angina is usually transient and easily terminated immediately after the restoration of coronary blood flow. We experienced a case of variant angina combined with prolonged complete atrioventricular block. The complete atrioventricular block persisted after the restoration of coronary blood flow, but normal sinus rhythm was restored spontaneously 5 days later. Here, we report this rare case