Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377019150> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W4377019150 endingPage "D130" @default.
- W4377019150 startingPage "D130" @default.
- W4377019150 abstract "Abstract Vasospastic angina is a form of angina caused by coronary artery spasm. This usually determines rest chest pain and electrocardiogram changes. In some patients severe ventricular tachyarrhythmias or bradyarrhythmias may develop during myocardial ischemia. Vasospastic angina attacks can be prevented by calcium antagonists and nitrates but artery spasm may be refractory to optimal medical therapy. A 66–year–old woman, affected by Hailey–Hailey disease was brought to the emergency department for hemorrhagic shock after anti–conservative purposes. She underwent emergency surgery for haemostasis of the neck lesion, reinsertion of the subhyoid muscles and right parotidectomy. After surgery an electrocardiogram (ECG) showed inferior and posterior ST–segment elevation, total atrioventricular block (AVB) and torsades de pointes (FIG 1), then evolved in asystole and cardiac arrest . ROSC occurred in 4 minutes. Temporary pacemaker (PM) was placed. Coronary angiography showed right coronary artery and left anteriori descending artery vasospasm, slightly reduced after nitroglycein infusion (FIG 2). Transdermal nitrates and calcium channel blocker were started. Hospitalization has been prolonged due to infectious/psychiatric problems, with necessity of percutaneous endoscopic gastrostomy and tracheostomy, A new episode of vasospastic angina developed during hospitalization with recurrence of total AVB and torsades de pointes. Temporary PM was placed but after 24 hours perforated the right ventricle free wall. Echocardiogram showed small circumferential pericardial effusion. The patient underwent transvenous removal of the right ventricular catheter and two lead DDD PM was implanted. She was discharged with nitrate and calcium channel blocker therapy. No recurrence of angina was documented at 6–months follow–up. The management of this clinical case was complex because it was a form of vasospastic angina complicated by 2 cardiac arrests, unresponsive to medical therapy and with temporary PM that perforated the right ventricle. We therefore opted for a definitive PM implant for protection. Few case report describes definitive PM implantation in fatal bradyarrhythmias during vasospastic angina. To date, the best treatment of coronary vasospasm refractory to medical therapy is debated, pecutaneous revascularization and sympathectomy are considered, treatment methods that we will consider at follow–up in case of (probable) anginal recurrences." @default.
- W4377019150 created "2023-05-19" @default.
- W4377019150 creator A5014665748 @default.
- W4377019150 creator A5027554969 @default.
- W4377019150 creator A5030319241 @default.
- W4377019150 creator A5034818897 @default.
- W4377019150 creator A5036571933 @default.
- W4377019150 creator A5046733424 @default.
- W4377019150 creator A5049985591 @default.
- W4377019150 creator A5050271532 @default.
- W4377019150 creator A5082063920 @default.
- W4377019150 creator A5082100109 @default.
- W4377019150 date "2023-05-01" @default.
- W4377019150 modified "2023-10-05" @default.
- W4377019150 title "P231 CORONARY VASOSPASM REFRACTORY TO MEDICAL THERAPY AND COMPLICATED BY ASYSTOLE, HOW TO MANAGE IT?" @default.
- W4377019150 doi "https://doi.org/10.1093/eurheartjsupp/suad111.306" @default.
- W4377019150 hasPublicationYear "2023" @default.
- W4377019150 type Work @default.
- W4377019150 citedByCount "0" @default.
- W4377019150 crossrefType "journal-article" @default.
- W4377019150 hasAuthorship W4377019150A5014665748 @default.
- W4377019150 hasAuthorship W4377019150A5027554969 @default.
- W4377019150 hasAuthorship W4377019150A5030319241 @default.
- W4377019150 hasAuthorship W4377019150A5034818897 @default.
- W4377019150 hasAuthorship W4377019150A5036571933 @default.
- W4377019150 hasAuthorship W4377019150A5046733424 @default.
- W4377019150 hasAuthorship W4377019150A5049985591 @default.
- W4377019150 hasAuthorship W4377019150A5050271532 @default.
- W4377019150 hasAuthorship W4377019150A5082063920 @default.
- W4377019150 hasAuthorship W4377019150A5082100109 @default.
- W4377019150 hasBestOaLocation W43770191501 @default.
- W4377019150 hasConcept C126322002 @default.
- W4377019150 hasConcept C141071460 @default.
- W4377019150 hasConcept C164705383 @default.
- W4377019150 hasConcept C2776818218 @default.
- W4377019150 hasConcept C2777736543 @default.
- W4377019150 hasConcept C2778088351 @default.
- W4377019150 hasConcept C2778213512 @default.
- W4377019150 hasConcept C2778425758 @default.
- W4377019150 hasConcept C2778506911 @default.
- W4377019150 hasConcept C2778704086 @default.
- W4377019150 hasConcept C3019004856 @default.
- W4377019150 hasConcept C42219234 @default.
- W4377019150 hasConcept C500558357 @default.
- W4377019150 hasConcept C71924100 @default.
- W4377019150 hasConceptScore W4377019150C126322002 @default.
- W4377019150 hasConceptScore W4377019150C141071460 @default.
- W4377019150 hasConceptScore W4377019150C164705383 @default.
- W4377019150 hasConceptScore W4377019150C2776818218 @default.
- W4377019150 hasConceptScore W4377019150C2777736543 @default.
- W4377019150 hasConceptScore W4377019150C2778088351 @default.
- W4377019150 hasConceptScore W4377019150C2778213512 @default.
- W4377019150 hasConceptScore W4377019150C2778425758 @default.
- W4377019150 hasConceptScore W4377019150C2778506911 @default.
- W4377019150 hasConceptScore W4377019150C2778704086 @default.
- W4377019150 hasConceptScore W4377019150C3019004856 @default.
- W4377019150 hasConceptScore W4377019150C42219234 @default.
- W4377019150 hasConceptScore W4377019150C500558357 @default.
- W4377019150 hasConceptScore W4377019150C71924100 @default.
- W4377019150 hasIssue "Supplement_D" @default.
- W4377019150 hasLocation W43770191501 @default.
- W4377019150 hasOpenAccess W4377019150 @default.
- W4377019150 hasPrimaryLocation W43770191501 @default.
- W4377019150 hasRelatedWork W1988826675 @default.
- W4377019150 hasRelatedWork W2008223315 @default.
- W4377019150 hasRelatedWork W2028376964 @default.
- W4377019150 hasRelatedWork W2042804821 @default.
- W4377019150 hasRelatedWork W2162096245 @default.
- W4377019150 hasRelatedWork W2409774964 @default.
- W4377019150 hasRelatedWork W2471376028 @default.
- W4377019150 hasRelatedWork W3166407974 @default.
- W4377019150 hasRelatedWork W4237125075 @default.
- W4377019150 hasRelatedWork W4253712241 @default.
- W4377019150 hasVolume "25" @default.
- W4377019150 isParatext "false" @default.
- W4377019150 isRetracted "false" @default.
- W4377019150 workType "article" @default.