ICD treatment may be a good option in cases with a diffuse spasm that is hard to control withmedical treatment due to the risk of life-threatening ventricular arrhythmia.
📌 3 Key Takeaways
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Objective & Hypothesis:Spontaneous and simultaneous multivessel coronary artery spasm may present with multisite myocardial ischemia, atrioventricular block, acute lung edema, cardiogenic shock, or ventricular fibrillation.
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Key Findings & Data:This report is a description of a 57-year-old male patient who was admitted to the hospital with chest pain followed by loss of consciousness.As the patient had bradycardia, a diffuse spasm, and life-threatening ventricular arrhythmia during ischemic episodes, a dualICD device was implanted.
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Conclusion & Impact:ICD treatment may be a good option in cases with a diffuse spasm that is hard to control withmedical treatment due to the risk of life-threatening ventricular arrhythmia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Spontaneous and simultaneous multivessel coronary artery spasm may present with multisite myocardial ischemia, atrioventricular block, acute lung edema, cardiogenic shock, or ventricular fibrillation. In a case of syncope caused by vasospasm,the underlying mechanism may be complex, such as atrioventricular block and/or ventricular arrhythmia. Dual implantablecardioverter defibrillator (ICD) placement should be considered along with optimal medical treatment. This report is a description of a 57-year-old male patient who was admitted to the hospital with chest pain followed by loss of consciousness.As the patient had bradycardia, a diffuse spasm, and life-threatening ventricular arrhythmia during ischemic episodes, a dualICD device was implanted. ICD treatment may be a good option in cases with a diffuse spasm that is hard to control withmedical treatment due to the risk of life-threatening ventricular arrhythmia.
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Cite This Article
DEMİR, S., DOĞAN, C., AKGÜN, T., AKGÜN, Ö., USLU, A., ÇELİK, M., SARI, M. (2022). Difficult management of a patient presenting with recurrent syncope caused by diffuse vasospasm. İstanbul Kuzey Klinikleri, Cilt: 5 - Sayı: 3, 264–267. https://ajindex.com/articles/551509
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