Kurabayashi, Manabu and Suzuki, Hidetoshi and Shimura, Tsukasa and Yamauchi, Yasuteru and Okishige, Kaoru (2016) Ventricular Fibrillation in Patient with Multi-vessel Coronary Spasm Four Days after the Initiation of Oral Beta-blocker. European Journal of Case Reports in Internal Medicine, 3 (5). pp. 1-3. ISSN 2284-2594
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Abstract
We describe a case of ventricular fibrillation occurring in a patient with multi-vessel coronary spasm after the initiation of an oral beta-blocker. A 56-year-old man began to experience chest discomfort and his computed tomography revealed intermediate coronary stenoses. He was administered medications including an oral beta-blocker but suddenly collapsed while walking 4 days later. An automated external defibrillator detected ventricular fibrillation and delivered successful electrical cardioversion. An acetylcholine provocation test after stabilization of the status revealed triple-vessel coronary spasm. Beta-blockers may provoke exacerbation of coronary spasm and result in lethal arrhythmia.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Coronary spasm, ventricular fibrillation, beta-blocker, acetylcholine provocation test |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 27 Sep 2016 13:12 |
| Last Modified: | 27 Sep 2016 13:12 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/15170 |
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