Coronary spasm: a case of transient ST elevation and syncopal ventricular tachycardia without angina.

نویسندگان

  • Claudia Postorino
  • Mark M Gallagher
  • Luca Santini
  • Giulia Magliano
  • Gaetano Chiricolo
  • Missiroli Bindo
  • Alfredo Postorino
  • Francesco Romeo
چکیده

We report the case of a 60-year-old male with recurrent pre-syncope, referred with a provisional diagnosis of carotid sinus syndrome on the basis of a 4 s asystolic pause following carotid sinus massage. On repeat Holter monitoring there was ST-segment elevation followed by episodes of polymorphic ventricular tachycardia during a mild episode of pre-syncope. Coronary angiography showed mild right coronary artery irregularity without significant stenosis. An automatic cardioverter defibrillator was implanted and high dose combined vasodilator therapy was commenced. At follow-up 18 months after implantation, the device has recorded no episode of tachycardia and the patient reports no recurrence of symptoms.

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عنوان ژورنال:
  • Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

دوره 9 8  شماره 

صفحات  -

تاریخ انتشار 2007