Details

Autor(en) / Beteiligte

• Hung, Ming-yow
• Liu, Ju-chi
• Hao, Wen-rui
• Wu, Cheng-hsueh
• Hung, Ming-jui

Titel

Acute right ventricular myocardial injury and sudden cardiac arrest in a patient with persistent spontaneous coronary vasospasm

Ist Teil von

• Chinese medical journal, 2011-04, Vol.124 (8), p.1275-1277

Ort / Verlag

China: Division of Cardiology, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan, China%Division of Cardiology, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan, China%Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan, China

Erscheinungsjahr

2011

Quelle

MEDLINE

Beschreibungen/Notizen

• Coronary vasospasm is a rare diagnosis resulting in sudden arrhythmic cardiac arrest. We report a case of a healthy,non-smoking elderly woman resuscitated from arrhythmic cardiac arrest. She had persistent spontaneous coronaxy vasospasm, leading to right ventricular myocardial injury and failure, and shock. She responded quickly to intravenous normal saline bolus infusion, but had irreversible neurological sequelae. Additionally, she had atrial fibrillation preceding ischemic ventricular fibrillation, a rare finding in coronary vasospasm-related cardiac arrest. We suggest immediate coronary angiography of patients in sudden arrhythmic cardiac arrest with acute right ventricular failure for a prompt,accurate diagnosis and appropriate management of the coronary vasospasm.