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A rare cause of cardiogenic shock: variant angina
Author(s) -
Aysel Akhundova,
Murat Sünbül,
Mehmet Bozbay,
Ashok Paudel,
Osman Yeşildağ
Publication year - 2014
Publication title -
therapeutic advances in cardiovascular disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 33
eISSN - 1753-9455
pISSN - 1753-9447
DOI - 10.1177/1753944714546483
Subject(s) - medicine , cardiogenic shock , cardiology , angina , coronary vasospasm , vasospasm , sudden cardiac death , pathogenesis , shock (circulatory) , myocardial infarction , subarachnoid hemorrhage
Variant angina (VA) is a clinical syndrome caused by spontaneous vasospasm of the epicardial coronary artery which is characterized by episodes of angina. Endothelial dysfunction and neurohormonal hyperactivity are important factors in pathogenesis of VA. Although patient prognosis is good, VA may be one of the reasons of sudden cardiac death (SCD) in case of persistent ST segment elevation and malignant arrhythmias. Therefore, early treatment of VA is crucial for prevention of malignant arrhythmias and SCD. In this case report we describe a case of VA presented with cardiogenic shock and malignant ventricular arrhythmia.

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