A Case Report on Variant Angina with Ventricular Fibrillation during Relief from Angina Attack
山口医学 Volume 33 Issue 1
Page 29-34
published_at 1984-02
Title
異型狭心症の発作消失後に心室細動をきたした一例
A Case Report on Variant Angina with Ventricular Fibrillation during Relief from Angina Attack
Creators
Fukuta Shinji
Creators
Yamaoka Hideki
Creators
Yamakawa Katsutoshi
Creators
Eto Masahiko
Creators
Hayashi Yoshiko
Creators
Okuda Fumio
Creators
Kusukawa Reizo
Source Identifiers
The report describes a 64-year-old man with frequent early morning precordial pain. In December 1980, he began to have episodes of dull pain in the substernal region early in the morning. On admission in July 1982, the patient's blood pressure was 120/84 mm Hg, and his pulse was 63 bpm and regular. Significant abnormalities were not noted in the physical examination, and the blood chemistry was the normal range. During a chest pain attack on the second hospitalization day, ST segment elevation was recorded at II, III and aV_F, and isosorbide dinitrate was administered sublingually. The patient then developed a ventricular fibrillation (VF) as the ST segment had began to decrease. A direct current shock was used immediately and the VF resolved. A significant stenosis of coronary artery was not present on the coronary angiography. The arrhythmia during the decrease in the ST segment may be explained as a so-called reperfusion arrhythmia. Thus, prevention of coronary spasm by calcium antagonists and/or long-acting nitrates appears important.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
1984-02
File Version
Not Applicable (or Unknown)
Access Rights
metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools
医学部