Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation
We present a case of ventricular fibrillation (VF) secondary to ischaemia induced by coronary artery spasm. An 82-year-old man initially presented with an out-of-hospital VF arrest. On return of spontaneous circulation (ROSC), he was found to be in fast atrial fibrillation (AF); an invasive coronary...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/8823306 |
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| author | Vrijraj Sinhji Rathod Tanmay Kanitkar Grigoris Karamasis |
| author_facet | Vrijraj Sinhji Rathod Tanmay Kanitkar Grigoris Karamasis |
| author_sort | Vrijraj Sinhji Rathod |
| collection | DOAJ |
| description | We present a case of ventricular fibrillation (VF) secondary to ischaemia induced by coronary artery spasm. An 82-year-old man initially presented with an out-of-hospital VF arrest. On return of spontaneous circulation (ROSC), he was found to be in fast atrial fibrillation (AF); an invasive coronary angiogram revealed unobstructed coronary arteries. During his hospital stay, he developed chest pain, with concomitant ST elevation on ECG (electrocardiogram), which spontaneously resolved. A repeat coronary angiography revealed coronary spasm. Later, he had further ST elevation resulting in ventricular fibrillation. It became clear his initial presentation was most likely due to coronary vasospasm rather than a plaque-rupture or ventricular scar-related event, and he was thus successfully treated with multiple vasodilators and an implantable cardiac defibrillator. This case report highlights how conventional imaging modalities may not always lead to a diagnosis. |
| format | Article |
| id | doaj-art-ede9952469244539a067373a3c515d3e |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-ede9952469244539a067373a3c515d3e2025-02-03T06:46:55ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/88233068823306Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular FibrillationVrijraj Sinhji Rathod0Tanmay Kanitkar1Grigoris Karamasis2Essex Cardiothoracic Centre, Basildon University Hospital, Nethermayne, Basildon, SS16 5NL, UKEssex Cardiothoracic Centre, Basildon University Hospital, Nethermayne, Basildon, SS16 5NL, UKEssex Cardiothoracic Centre, Basildon University Hospital, Nethermayne, Basildon, SS16 5NL, UKWe present a case of ventricular fibrillation (VF) secondary to ischaemia induced by coronary artery spasm. An 82-year-old man initially presented with an out-of-hospital VF arrest. On return of spontaneous circulation (ROSC), he was found to be in fast atrial fibrillation (AF); an invasive coronary angiogram revealed unobstructed coronary arteries. During his hospital stay, he developed chest pain, with concomitant ST elevation on ECG (electrocardiogram), which spontaneously resolved. A repeat coronary angiography revealed coronary spasm. Later, he had further ST elevation resulting in ventricular fibrillation. It became clear his initial presentation was most likely due to coronary vasospasm rather than a plaque-rupture or ventricular scar-related event, and he was thus successfully treated with multiple vasodilators and an implantable cardiac defibrillator. This case report highlights how conventional imaging modalities may not always lead to a diagnosis.http://dx.doi.org/10.1155/2020/8823306 |
| spellingShingle | Vrijraj Sinhji Rathod Tanmay Kanitkar Grigoris Karamasis Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation Case Reports in Cardiology |
| title | Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation |
| title_full | Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation |
| title_fullStr | Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation |
| title_full_unstemmed | Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation |
| title_short | Out-of-Hospital Cardiac Arrest due to Coronary Spasm with Recurrent Ventricular Fibrillation |
| title_sort | out of hospital cardiac arrest due to coronary spasm with recurrent ventricular fibrillation |
| url | http://dx.doi.org/10.1155/2020/8823306 |
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