High Prevalence of Coronary Artery Spasm in Survivors of Cardiac Arrest with No Apparent Heart Disease.

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概要

• 論文の詳細を見る

• The pathogenesis of cardiac arrest in the absence of any apparent heart disease remains unclear. Based on the hypothesis that coronary spasm may be a cause of cardiac arrest in the absence of apparent heart disease, ergonovine testing and/or electrophysiologic studies (EPS) were performed to evaluate the cause of cardiac arrest. Fourteen patients resuscitated from cardiac arrest had no apparent heart disease. A spontaneous episode of angina with ST-segment elevation occurred in 4 patients while under observation. Ergonovine testing was performed in 9 patients, and coronary spasm was induced in 5. EPS were performed in 8 patients, including 3 patients with coronary spasm. No electrophysiologic abnormalities were found in the 3 patients with coronary spasm. Ventricular fibrillation was induced by programmed ventricular stimulation in 2 patients with documented ventricular fibrillation at the time of resuscitation. All but one of the patients with coronary spasm had chest pain preceding cardiac arrest or at least a history of chest pain at rest, while 4 of 5 patients without coronary spasm had no prodromal symptoms. Patients with coronary spasm had a good prognosis when treated with a Ca-antagonist and/or long-acting nitrate. In conclusion, coronary spasm is the most frequent cause of cardiac arrest in cardiac arrest survivors with no apparent heart disease. Ergonovine testing should be performed to evaluate the cause of cardiac arrest when patients have no apparent heart disease.

• International Heart Journal刊行会の論文

著者

• Yamazoe Masaru

  First Department of Internal Medicine, Niigata University School of Medicine

• Yamazoe Masaru

  First Department Of Internal Medicine

• Tamura Yusuke

  First Department of Internal Medicine, Niigata University School of Medicine

• Tanabe Yasuhiko

  First Department of Internal Medicine, Niigata University School of Medicine

• Shibata Akira

  First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University

• Tamura Yusuke

  First Department Of Internal Medicine Niigata University School Of Medicine

• Igarashi Yutaka

  First Department Of Internal Medicine Niigata University School Of Medicine

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• Suzuki Kaoru

  First Department Of Internal Medicine Niigata University School Of Medicine

• TAMURA Makoto

  First Department of Internal Medicine, Niigata University School of Medicine

• TANABE Yasuhiko

  First Department of Internal Medicine Niigata University School of Medicine

• YAMAGUCHI Toshio

  First Department of Internal Medicine, Niigata University School of Medicine

• OSHIMA Mitsuru

  First Department of Internal Medicine, Niigata University School of Medicine

• SAKAI Katsuyuki

  First Department of Internal Medicine, Niigata University School of Medicine

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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