Korean Circ J.  1991 Dec;21(6):1242-1245. 10.4070/kcj.1991.21.6.1242.

Sudden Death Caused by Reperfusion Ventricular Tachyarrhythmia in a Patients with Variant Angina

Abstract

The coronary vasospasm has usually been readily reversible by sublingual, intravenous or intracoronary nitroglycerin. Relief of spasm, either spontaneous or following nitrate therapy, results in reperfusion. Occurence of ventricular tachyarrhythmia during release of coronary spasm is attractive as a possible cause of sudden death because of significant proportion of sudden death victims do not have acute myocardial infarction. Recently, we experienced a 36 year old man who developed spontaneous coronary vasospasm, and the patients suffered from repetitive reperfusion ventricular tachyarrhythmia, and died suddenly in spite of administration of isosorbide dinitrate, lidocaine and several trials of cardioversion and cardiopulmonary resuscitation, and we report.

Keyword

Coronary artery spasm; Reperfusion ventricular tachyarrhythmia; Sudden death

MeSH Terms

Adult
Cardiopulmonary Resuscitation
Coronary Vasospasm
Death, Sudden*
Electric Countershock
Humans
Isosorbide Dinitrate
Lidocaine
Myocardial Infarction
Nitroglycerin
Reperfusion*
Spasm
Tachycardia*
Isosorbide Dinitrate
Lidocaine
Nitroglycerin
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