Yıl: 2023 Cilt: 29 Sayı: 1 Sayfa Aralığı: 94 - 96 Metin Dili: İngilizce DOI: 10.58600/eurjther-186 İndeks Tarihi: 27-04-2023

Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest

Öz:
Coronary artery vasospasm (CAVS) is a clinical entity that can cause angina, but also unstable angina pectoris, acute myocardial infarction, fatal arrhythmias, and sudden death. Although it is a condition that is usually controlled with medical treatment, more aggressive treatments may rarely be required. In this case, the patient with a known diagnosis of CAVS had multiple arrests despite optimal medical treatment. We observed that fatal arrhythmias persisted in the Implantable Cardioverter Defibrillator (ICD) records, even though we implanted a stent and gave the patient maximal medical treatment. We performed sympathectomy as a last resort and we did not detect any recurrence in the 6-month follow-up of the patient. ICD implantation and sympathectomy should always be considered in resistant CAVS cases.
Anahtar Kelime: Vasospastic coronary angina Sudden cardiac arrest Sympatectomy

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1- Prinzmetal M, Kennamer R, Merliss R, et al. Angina pectoris. I. A variant form of angina pectoris; preliminary report. Am J Med. 1959;27:375–388.
  • 2- Picard F, Sayah N, Spagnoli V, et al. Vasospastic angina: a literature review of current evidence. Arch Cardiovasc Dis. 2019;112(1):44–55.
  • 3- Anthony Matta, Frederic Bouisset, Thibault Lhermusier, Fran Campelo-Parada, Meyer Elbaz, et al. Review Article Coronary Artery Spasm: New Insights. Journal of Interventional Cardi- ology. Volume 2020, Article ID 5894586, 10 pages.
  • 4- Giovanni P. Talaricoa, Maria L. Crostab, Maria B. Giannicoa, Francesco Summariaa, Leonardo Calo, et al. Cocaine and cor- onary artery diseases: a systematic review of the literatüre. J Cardiovasc Med 2017, 18:291–294
  • 5- Swarup S, Patibandla S, Grossman SA. Coronary Artery Vazo- spazm. NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-.
  • 6- Takaoka K, Yoshimura M, Ogawa H, et al. Comparison of the risk factors for coronary artery spasm with those for organic stenosis in a Japanese population: role of cigarette smoking. Int J Cardiol. 2000;72(2):121–126.
  • 7- Min Chul Kim, Youngkeun Ahn, Keun Ho Park, Doo Sun Sim, Nam Sik Yoon, et al. Clinical outcomes of low-dose as- pirin administration in patients with variant angina pectoris. International Journal of Cardiology. Volume 167, Issue 5, 1 September 2013, Pages 2333-2334.
  • 8- Al-Khatib et al. 2017 AHA/ACC/HRS Guideline for Man- agement of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. JACC VOL. 72, NO. 14, 2018.
  • 9- Matsueet al. Clinical Implications of an ImplantableCardio- verter-Defibrillator in Patients WithVasospastic Angina and Lethal Ventricular Arrhythmia. Journal of the American College of Cardiology. Vol. 60, No. 10, 2012. NO. 4, 510-515 https://doi.org/10.1080/20009666.2021.1915534
  • 10- JCS Joint Working Group. Guidelines for diagnosis and treat- ment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J 2014;78:2779–801.
  • 11- Yaowang Lina, Huadong Liua, Danqing Yub, Meishan Wua, Qiyun Liua, et al. Sympathectomy versus conventional treat- ment for refractory coronary artery spasm. Coronary Artery Disease 2019, 30:418–424
  • 12- Cardona-Guarache R, Pozen J, Jahangiri A, Koneru J, Shepard R, RobertsC, et al. Thoracic sympathectomy for severe refrac- tory multivessel coronaryartery spasm. Am J Cardiol 2016; 117:159–161.
APA Doğan M, KAYA E, DENİZ Ç, Canpolat U, Şahiner M, ATES A, AYTEMIR K (2023). Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. , 94 - 96. 10.58600/eurjther-186
Chicago Doğan Mert,KAYA ERGUN BARIS,DENİZ ÇİĞDEM,Canpolat Ugur,Şahiner Mehmet Levent,ATES AHMET HAKAN,AYTEMIR KUDRET Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. (2023): 94 - 96. 10.58600/eurjther-186
MLA Doğan Mert,KAYA ERGUN BARIS,DENİZ ÇİĞDEM,Canpolat Ugur,Şahiner Mehmet Levent,ATES AHMET HAKAN,AYTEMIR KUDRET Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. , 2023, ss.94 - 96. 10.58600/eurjther-186
AMA Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. . 2023; 94 - 96. 10.58600/eurjther-186
Vancouver Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. . 2023; 94 - 96. 10.58600/eurjther-186
IEEE Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K "Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest." , ss.94 - 96, 2023. 10.58600/eurjther-186
ISNAD Doğan, Mert vd. "Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest". (2023), 94-96. https://doi.org/10.58600/eurjther-186
APA Doğan M, KAYA E, DENİZ Ç, Canpolat U, Şahiner M, ATES A, AYTEMIR K (2023). Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. European Journal of Therapeutics, 29(1), 94 - 96. 10.58600/eurjther-186
Chicago Doğan Mert,KAYA ERGUN BARIS,DENİZ ÇİĞDEM,Canpolat Ugur,Şahiner Mehmet Levent,ATES AHMET HAKAN,AYTEMIR KUDRET Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. European Journal of Therapeutics 29, no.1 (2023): 94 - 96. 10.58600/eurjther-186
MLA Doğan Mert,KAYA ERGUN BARIS,DENİZ ÇİĞDEM,Canpolat Ugur,Şahiner Mehmet Levent,ATES AHMET HAKAN,AYTEMIR KUDRET Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. European Journal of Therapeutics, vol.29, no.1, 2023, ss.94 - 96. 10.58600/eurjther-186
AMA Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. European Journal of Therapeutics. 2023; 29(1): 94 - 96. 10.58600/eurjther-186
Vancouver Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest. European Journal of Therapeutics. 2023; 29(1): 94 - 96. 10.58600/eurjther-186
IEEE Doğan M,KAYA E,DENİZ Ç,Canpolat U,Şahiner M,ATES A,AYTEMIR K "Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest." European Journal of Therapeutics, 29, ss.94 - 96, 2023. 10.58600/eurjther-186
ISNAD Doğan, Mert vd. "Aggressive Treatment of Refractory Coronary Artery Vasospasm in a Patient with Malignant Ventricular Tachyarrhythmia and Cardiac Arrest". European Journal of Therapeutics 29/1 (2023), 94-96. https://doi.org/10.58600/eurjther-186