Lunesta overdose: ST-elevation coronary vasospasm, troponemia, and ventricular fibrillation arrest

This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest while in the ED. Post-defibrillation electrocardiogram showed changes suggestive of an ST-elevation myocardial infarction (STEMI). Cardiac catheterization showed severe left anterior descending spasm with no evidence of disease. Coronary vasospasm is a consideration in the differential causes of ventricular fibrillation and STEMI seen in the ED.

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The appearance of regional ST elevation after the defibrillation of ventricular fibrillation in the Brugada syndrome patient with coronary vasospasm

Japanese Journal of Electrocardiology ◽

10.5105/jse.28.suppl4_37 ◽

2008 ◽

Vol 28 (Suppl4) ◽

pp. 37-40

Author(s):

Koji Fukuda ◽

Koji Kumagai ◽

Yuji Wakayama ◽

Yoshinao Sugai ◽

Masanori Hirose ◽

...

Keyword(s):

Ventricular Fibrillation ◽

Brugada Syndrome ◽

Coronary Vasospasm ◽

Syndrome Patient ◽

St Elevation

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P375 Ventricular conduction in idiopathic ventricular fibrillation without right precordial ST-elevation-comparative study with Brugada syndrome

European Heart Journal ◽

10.1016/s0195-668x(03)93813-9 ◽

2003 ◽

Vol 24 (5) ◽

pp. 45

Author(s):

M ESATO

Keyword(s):

Ventricular Fibrillation ◽

Comparative Study ◽

Brugada Syndrome ◽

Idiopathic Ventricular Fibrillation ◽

St Elevation ◽

Ventricular Conduction

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RR-interval irregularity precedes ventricular fibrillation in ST elevation acute myocardial infarction

Heart Rhythm ◽

10.1016/j.hrthm.2009.09.024 ◽

2010 ◽

Vol 7 (1) ◽

pp. 65-71 ◽

Cited By ~ 10

Author(s):

Miguel E. Lemmert ◽

Mohamed Majidi ◽

Mitchell W. Krucoff ◽

Sebastiaan C.A.M. Bekkers ◽

Harry J.G.M. Crijns ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Ventricular Fibrillation ◽

Rr Interval ◽

St Elevation ◽

Elevation Acute Myocardial Infarction

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Recurrent attack of acute myocardial infarction complicated with ventricular fibrillation due to coronary vasospasm within a myocardial bridge: a case report

BMC Cardiovascular Disorders ◽

10.1186/s12872-020-01650-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Xingwei He ◽

Zakarya Ahmed ◽

Xin Liu ◽

Chang Xu ◽

Hesong Zeng

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Case Report ◽

Ventricular Fibrillation ◽

Coronary Vasospasm ◽

Myocardial Bridge ◽

Recurrent Attack

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Postpartum Coronary Vasospasm with Literature Review

Case Reports in Cardiology ◽

10.1155/2014/523023 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Jayanth Koneru ◽

Matthew Cholankeril ◽

Kunal Patel ◽

Fadi Alattar ◽

Ashraf Alqaqa ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Literature Review ◽

Postpartum Period ◽

Coronary Vasospasm ◽

St Elevation Myocardial Infarction ◽

Postpartum Woman ◽

First Case ◽

St Elevation

Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 39-year-old postpartum woman who developed non-ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our knowledge, this is the first case of angiographically evidenced coronary vasospasm, in a postpartum woman, with resistance to intracoronary nitroglycerin.

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