Life-Threatening Coronary Vasospasm Treated by Implantable Cardioverter Defibrillator: The Warning Signs.
Journal
Case reports in cardiology
ISSN: 2090-6404
Titre abrégé: Case Rep Cardiol
Pays: United States
ID NLM: 101576452
Informations de publication
Date de publication:
2022
2022
Historique:
received:
19
11
2021
accepted:
07
07
2022
entrez:
8
8
2022
pubmed:
9
8
2022
medline:
9
8
2022
Statut:
epublish
Résumé
Coronary artery vasospasm is the sudden narrowing of an artery caused by rapid prolonged contraction. It reduces blood supply to the heart and can present with typical cardiac chest pain symptoms. Vasospasm can lead to fatal arrhythmic complications such as ventricular fibrillation. Our case report describes an example of this occurring in a 53-year-old female, and the management plan that ensued. We look at the importance of accurate and prompt diagnosis of vasospasm and how this can have implications for treatment options. One of the available treatments for vasospasm is placement of an implantable cardioverter defibrillator (ICD). This delivers a shock in the event of future life-threatening arrhythmia, with the aim of preventing cardiac arrest. ICD placement, however, is not always a suitable option. This case report discusses the various challenges that arose while making the decision for ICD placement and gives insight into the best available treatment options for coronary artery vasospasm. We also highlight early warning signs that predict life-threatening vasospastic events and how this can be diagnosed and treated appropriately.
Identifiants
pubmed: 35937136
doi: 10.1155/2022/4504028
pmc: PMC9348961
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4504028Informations de copyright
Copyright © 2022 Deborah Adepoju et al.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest.
Références
Int J Cardiol. 2007 Apr 12;117(1):37-44
pubmed: 16844245
Circulation. 2009 May 12;119(18):2531-4
pubmed: 19433770
Am J Med. 1959 Sep;27:375-88
pubmed: 14434946
Niger Med J. 2014 Jul;55(4):356-8
pubmed: 25114375
Case Rep Cardiol. 2020 Sep 4;2020:8823306
pubmed: 32963835
J Am Coll Cardiol. 2008 Aug 12;52(7):523-7
pubmed: 18687244
Int J Med Sci. 2014 Aug 28;11(11):1161-71
pubmed: 25249785
Medicine (Baltimore). 2015 Oct;94(42):e1880
pubmed: 26496346
J Cardiol. 2014 Jan;63(1):41-5
pubmed: 23906527