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Bloqueio aurículo-ventricular de alto grau induzido por angina de Prinzmetal
Author(s) -
Filipa Ferreira,
Lorette Cardona,
Bruno Valente,
João Abreu,
E Antunes,
Lurdes Ferreira,
José Alberto Oliveira,
Rui Cruz Ferreira
Publication year - 2012
Publication title -
revista portuguesa de cardiologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.266
H-Index - 26
eISSN - 2174-2030
pISSN - 0870-2551
DOI - 10.1016/j.repc.2012.01.001
Subject(s) - medicine , chest pain , cardiology , atrioventricular block , st segment , angina , coronary angiography , anesthesia , myocardial infarction
We present the case of a 46-year-old woman with episodes of chest pain with ST-T segment elevation and paroxysmal high-degree atrioventricular block and syncopal episodes. Coronary angiography revealed no significant atheromatous lesions. The patient was treated with nitrates and calcium channel blockers but syncopal episodes with atrioventricular block persisted. A DDD-R pacemaker was implanted and four-month follow-up was uneventful.

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