Ventricular Fibrillation and Polymorphic Ventricular Tachycardia with Critical Coronary Artery Stenosis:.

1994 ◽  
Vol 5 (12) ◽  
pp. 988-994 ◽  
Author(s):  
ANDREA NATALE ◽  
JASBIR SRA ◽  
KATHI AXTELL ◽  
CHERYL MAGLIO ◽  
ANWER DHALA ◽  
...  
2015 ◽  
Vol 61 (4) ◽  
pp. 387-390
Author(s):  
Rudzik Roxana ◽  
Şuş Ioana ◽  
Hadadi László ◽  
Şerban Răzvan Constantin ◽  
Dobreanu Dan

AbstractIntroduction: Coronary vasospasm is a possible cause of ventricular tachyarrhythmias and is frequently associated with atherosclerotic lesions. The revascularization of mild to moderate coronary artery stenosis which causes symptoms only due to associated vasospasm is still a matter of debate, as the standard treatment of Prinzmetal angina is represented by the long term administration of calcium-channel blockers.Case presentation: We present the case of a 46 year old woman with an intermediate severity coronary artery stenosis complicated by vasospastic angina and subsequent polymorphic ventricular tachycardia. Although the functional significance of the fixed coronary artery lesion was equivocal at invasive fractional flow reserve measurement, a combined pharmacologic and interventional treatment strategy was chosen with stent implantation and long acting calcium channel blocker administration with a symptom-free, good clinical outcome.Conclusion: Patients with vasospastic angina and intermediate severity atherosclerotic coronary artery stenoses are at risk of malignant ventricular arrhythmias, therefore myocardial revascularization should be considered in addition to the standard medical treatment.


2018 ◽  
Vol 26 (3) ◽  
pp. 186-189
Author(s):  
Yutaka Kondo ◽  
Toshikazu Abe ◽  
Masataka Fukami ◽  
Ichiro Kukita

Introduction: Prognosis of cardiopulmonary arrest occurring in patients with blunt trauma is very poor; patients rarely recover from this condition. We either do not attempt cardiopulmonary resuscitation or terminate it after some time in blunt trauma–cardiopulmonary arrest cases. We presented a rare case of successful resuscitation of a patient with blunt trauma–cardiopulmonary arrest. Case presentation: A 54-year-old man was admitted to our emergency department after being injured in a traffic accident. The patient suffered from ventricular fibrillation, and spontaneous circulation was restored by a defibrillator. The estimated arrest time was 20 min. Discussion: On arrival of our emergency department, the patient showed intra-abdominal hemorrhage and we performed emergency surgery; 10 days after admission, the patient suffered from pulseless ventricular tachycardia—coronary angiography was performed, which revealed that the patient had coronary artery stenosis. Conclusion: We experienced trauma patients concealed with coronary artery stenosis. In traumatic arrest with ventricular fibrillation, it may be due to a medical reason, and more prolonged and intensive resuscitation may be considered.


2005 ◽  
Vol 44 (9) ◽  
pp. 963-966 ◽  
Author(s):  
Tetsuo ICHINOSE ◽  
Yuji NAKAZATO ◽  
Hiroshi MIYANO ◽  
Toru KIMURA ◽  
Haruyo YAMASHITA ◽  
...  

Choonpa Igaku ◽  
2008 ◽  
Vol 35 (4) ◽  
pp. 443-449 ◽  
Author(s):  
Yuko SUGIYAMA ◽  
Masayo SUZUKI ◽  
Keiichi HIRANO ◽  
Keijirou NAKAMURA ◽  
Mao TAKAHASHI ◽  
...  

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