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Vasospasm in smooth coronary arteries as a cause of asystole and syncope

✍ Scribed by Unverdorben, Martin ;Haag, Matthias ;Fuerste, Thomas ;Weber, Hartmet ;Vallbracht, Christian

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 280 KB
Volume: 41
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199708)41:4<430::aid-ccd21>3.0.co;2-o

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✦ Synopsis

In a patient with proven myocardial infarction, coronary artery disease was excluded angiographically. Four weeks later the patient experienced recurrent syncope of unknown cause. By means of Holter monitoring, ST-segment elevation with subsequent first-degree AV block progressing to asystole and resulting in loss of consciousness were documented. Treatment with gallopamil and a VVI-pacemaker led to complete relief of all symptoms. Hence, Prinzmetal's angina may be a rare cause of syncope even in smooth coronary arteries.

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