Coronary vasospasm and aborted sudden death treated with an implantable defibrillator and stenting

Luigi Fiocca, Maurizio Di Biasi, Nicola Bruno, Matteo Ciuffreda, Francesco Zumbo, Daniele Mangiameli, Annibale Sandro Montenero

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Abstract

In selected patients suffering from variant angina, an implantable cardioverter-defibrillator (ICD) and coronary stenting can be helpful to prevent sudden death and treat coronary artery spasm. We report a case of a 47-year-old woman suffering from variant angina, who experienced an episode of ventricular fibrillation promptly cardioverted. After coronary angiography documentation of a mild atherosclerosis, an ICD was implanted and oral nitrates and calcium antagonists were prescribed. The recurrence of chest pain and palpitations prompted us to perform a second coronary angiography that documented a focal coronary artery spasm successfully treated with stent implantation. No other episodes of angina or ventricular arrhythmia were documented during the following 6 months of follow-up.

Original languageEnglish
Pages (from-to)270-273
Number of pages4
JournalItalian Heart Journal
Volume3
Issue number4
Publication statusPublished - 2002

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Keywords

  • Coronary spasm
  • Coronary stent
  • Implantable cardioverter-defibrillator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Fiocca, L., Di Biasi, M., Bruno, N., Ciuffreda, M., Zumbo, F., Mangiameli, D., & Montenero, A. S. (2002). Coronary vasospasm and aborted sudden death treated with an implantable defibrillator and stenting. Italian Heart Journal, 3(4), 270-273.