Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient
Vasospastic angina, also known as Prinzmetal's 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, an...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2017-10-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-44756 |
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| author | Nil Özyüncü Hüseyin Göksülük Veysel Kutay Vurgun Onur Yıldırım Türkan Seda Tan Kürklü |
| author_facet | Nil Özyüncü Hüseyin Göksülük Veysel Kutay Vurgun Onur Yıldırım Türkan Seda Tan Kürklü |
| author_sort | Nil Özyüncü |
| collection | DOAJ |
| description | Vasospastic angina, also known as Prinzmetal's 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. |
| first_indexed | 2024-04-10T11:06:17Z |
| format | Article |
| id | doaj.art-15afb32f05c44acbb0a067669573935f |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T11:06:17Z |
| publishDate | 2017-10-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-15afb32f05c44acbb0a067669573935f2023-02-15T16:19:22ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692017-10-0145764164510.5543/tkda.2017.44756TKDA-44756Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patientNil Özyüncü0Hüseyin Göksülük1Veysel Kutay Vurgun2Onur Yıldırım3Türkan Seda Tan Kürklü4Department of Cardiology, Ankara University Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Ankara University Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Ankara University Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Ankara University Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Ankara University Faculty of Medicine, Ankara, TurkeyVasospastic angina, also known as Prinzmetal's 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.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-44756implantable cardioverter defibrillatorstentvasospastic angina. |
| spellingShingle | 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 Türk Kardiyoloji Derneği Arşivi implantable cardioverter defibrillator stent vasospastic angina. |
| title | Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| title_full | Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| title_fullStr | Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| title_full_unstemmed | Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| title_short | Stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| title_sort | stent and implantable cardioverter defibrillator implantation in medically resistant vasospastic angina patient |
| topic | implantable cardioverter defibrillator stent vasospastic angina. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-44756 |
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