Deadly vasospasm

Abstract A patient with Prinzmetal's variant angina (PVA) developed a cardiac arrest due to coronary vasospasm and subsequent myocardial infarction. After resuscitation postanoxic brain injury was diagnosed. After an initial improvement of consciousness he deteriorated rapidly on the seventh da...

Full description

Saved in:
Bibliographic Details
Published inResuscitation Vol. 80; no. 11; pp. 1318 - 1320
Main Authors Eijking, D.P.H, Reichert, C.L.A, Wagenvoort, A.M, Van Geel, B.M, Toornvliet, A.C, Honing, M.L.H
Format Journal Article
LanguageEnglish
Published Ireland Elsevier Ireland Ltd 01.11.2009
Subjects
Angina Pectoris, Variant - diagnosis
Angina Pectoris, Variant - etiology
Brain ischaemia
Cerebral Angiography
Coronary vasospasm
Diagnosis, Differential
Electrocardiography
Emergency
Endothelial dysfunction
Fatal Outcome
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Vasospasm
Vasospasm, Intracranial - complications
Vasospasm, Intracranial - diagnosis
Endothelial dysfunction
Vasospasm
Brain ischaemia
Coronary vasospasm
Online AccessGet full text

Cover

More Information
Summary:Abstract A patient with Prinzmetal's variant angina (PVA) developed a cardiac arrest due to coronary vasospasm and subsequent myocardial infarction. After resuscitation postanoxic brain injury was diagnosed. After an initial improvement of consciousness he deteriorated rapidly on the seventh day after admission due to severe brain ischaemia apparently caused by cerebral vasospasm, until ultimately brain death was diagnosed. To our knowledge, the association between PVA and cerebral vasospasm has never been described. The combination suggests that this patient had a generalized vasospastic disorder.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2009.07.009