Korean J Med > Volume 77(6); 2009 > Article
The Korean Journal of Medicine 2009;77(6):759-763.
A case of coronary vasospasm-induced ventricular fibrillation without significant coronary artery disease
Sung Kyoon Park, Jong Sang Kim, Jae Hee Jang, Yoon Jong Seo, Ja Be Park, Jung Chul Joo, Dong Jun Won
유의한 관상동맥 질환이 없이 관상동맥 연축에 의해 발생한 심실세동 1예
박성균, 김종상, 장재희, 서윤종, 박자비, 주정철, 원동준
Abstract
Coronary vasospasm plays an important role in the pathogenesis not only of variant angina, but also of ischemic heart disease in general, including other forms of angina pectoris, acute myocardial infarction, and sudden death. Vasoactive events leading to an acute reduction in regional myocardial flow in the presence of a normal or previously compromised circulation are a common cause of arrhythmias. However, coronary vasospasm-induced electrical and mechanical complications are rarely reported in patients with angiographically normal or near-normal coronary arteries. This paper presents our experience with a patient presenting with coronary vasospasm-associated ventricular fibrillation without findings of significant coronary artery disease.
Key Words: Angina pectoris, Variant; Coronary vasospasm; Ventricular fibrillation


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