Turk Kardiyol Dern Ars. 2017; 45(7): 641-645 | DOI: 10.5543/tkda.2017.44756
Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient
, Hüseyin Göksülük, Veysel Kutay Vurgun, Onur Yıldırım, Türkan Seda Tan Kürklü
Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
Vasospastic angina, also known as Prinzmetals angina, is thought to occur due to vascular hyper-reactivity to various stimuli. Response to medical therapy is usually good; however, 1 out of 5 patients has resistant symptoms. Rarely, potentially lethal arrhythmias can occur due to vasospasm, and those patients are reported to have a poorer prognosis. Presently described is a case of resistant vasospastic angina with persistent symptoms under calcium channel blocker and nitrate treatment. The patient presented with hemodynamically unstable rapid-rate ventricular tachycardia, which was quite resistant to recurrent cardioversion. She was treated with stent implantation for definite vasospastic segments of the coronaries, in combination with medical therapy. An implantable cardioverter defibrillator was also implanted for secondary prevention of ventricular arrhythmia, as vasospasm was considered to be a diffuse disease without a certain definitive treatment.Keywords:
Implantable cardioverter defibrillator, stent, vasospastic angina.
Nil Özyüncü, Hüseyin Göksülük, Veysel Kutay Vurgun, Onur Yıldırım, Türkan Seda Tan Kürklü. Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient. Turk Kardiyol Dern Ars. 2017; 45(7): 641-645
Corresponding Author: Nil Özyüncü, Türkiye