Journal article
Coronary Spasm and Polymorphic Ventricular Tachycardia One Year After Takotsubo
Mayo Clinic proceedings. Innovations, quality & outcomes, Vol.3(2), pp.231-234
05/05/2019
DOI: 10.1016/j.mayocpiqo.2019.01.001
PMCID: PMC6543259
PMID: 31193858
Abstract
Stress cardiomyopathy is typically considered to be a disease with a favorable long-term prognosis, with malignant arrhythmias accompanying only the acute phase. We describe a 51-year-old female who presented with palpitations one year after stress cardiomyopathy and complete recovery of apical left ventricular wall motion. Coronary spasm was strongly suspected based on transient ST-segment elevations followed by sustained polymorphic ventricular tachycardia captured on ambulatory Holter. Contrast injection during coronary angiography reproduced spasm and ventricular arrhythmia that resolved with intracoronary nitroglycerine. The patient was intolerant to nitrates therefore discharged on 2 calcium channel blockers. Shared decision was made to implant cardioverter defibrillator.
Details
- Title: Subtitle
- Coronary Spasm and Polymorphic Ventricular Tachycardia One Year After Takotsubo
- Creators
- Noah N. Williford - University of IowaAlexander Mazur - University of IowaTroy Rhodes - University of IowaElaine Demetroulis - Roy J. and Lucille A. Carver College of MedicineMilena A. Gebska - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Mayo Clinic proceedings. Innovations, quality & outcomes, Vol.3(2), pp.231-234
- DOI
- 10.1016/j.mayocpiqo.2019.01.001
- PMID
- 31193858
- PMCID
- PMC6543259
- NLM abbreviation
- Mayo Clin Proc Innov Qual Outcomes
- ISSN
- 2542-4548
- eISSN
- 2542-4548
- Publisher
- Elsevier
- Grant note
- DOI: 10.13039/100008497, name: Boston Scientific
- Language
- English
- Date published
- 05/05/2019
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984362735802771
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