Open AccessCardiac rhythm disorders complicating coronary arterial spasm
Author(s) -
Bashour T.
Publication year - 1984
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960070908
Subject(s) - medicine , cardiology , vasospasm , coronary vasospasm , ventricular fibrillation , ischemia , normal sinus rhythm , anesthesia , artery , sinus rhythm , atrial fibrillation , myocardial infarction , subarachnoid hemorrhage , coronary angiography
Practically every known form of arrhythmia may complicate vasospastic ischemia. Of special importance are sinus node arrest and ventricular fibrillation. The high incidence of arrhythmia in this syndrome may be related to the usually severe profound ischemia or to the sudden massive reperfusion; both can frequently characterize transient severe segmental spasm of an artery without pre‐existing stenosis. Nitrates and calcium channel blockers may be effective in the control of vasospasm‐induced arrhythmia, but other traditional antiarrhythmic agents and pacemaker treatment may be required in some patients.