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Coronary Artery Vasospasm

Song JK

Coronary artery vasospasm (CVS) is an important mechanism of myocardial ischemia and produces any of the manifestations of coronary artery disease from silent myocardial ischemia, to effort-induced angina and variant...
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Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings

Cho S, Kang TS

Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even...
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Coronary artery spasm as the probable cause of cardiac arrest immediately after the induction of spinal anesthesia: A case report

Kim JA, Chung CJ, Yoon KS, Hong JI, Lee SC, Park SY, Choi SR, Lee DH, Jeong JH

A 72-year-old man underwent spinal anesthesia for artificial urinary sphincter placement for urinary incontinence. After the block level was confirmed below T6, 1 g of cefotetan, which had not shown...
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Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina and Its Prognostic Implications in 3,094 Consecutive Patients

Song YJ, Ha SJ, Lee DS, Bang WD, Shin DG, Woo Y, Cheong S, Yoo SY

BACKGROUND AND OBJECTIVES: Ergonovine stress echocardiography (ErgECHO) has been proposed as a noninvasive tool for the diagnosis of coronary vasospasm. However, concern over the safety of ErgECHO remains. This study...
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Masked inherited primary arrhythmia syndromes in sudden cardiac death patients accompanied by coronary vasospasm

Lee KH, Park HW, Eun JN, Cho JG, Yoon NS, Kim MR, Ku YH, Park H, Lee SH, Kim JH, Kim MC, Kim WJ, Kim HK, Cho JY, Park KH, Sim DS, Yoon HJ, Kim KH, Hong YJ, Kim JH, Ahn Y, Jeong MH, Park JC

BACKGROUND/AIMS: Coronary vasospasms are one of the important causes of sudden cardiac death (SCD). Provocation of coronary vasospasms can be useful, though some results may lead to false positives, with...
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Can documented coronary vasospasm be the smoking gun in settling the etiology of sudden cardiac death?

Kim NH, Ko JS

No abstract available.
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Impact of Diltiazem Alone versus Diltiazem with Nitrate on Five-Year Clinical Outcomes in Patients with Significant Coronary Artery Spasm

Park T, Park JY, Rha SW, Seo HS, Choi BG, Choi SY, Byun JK, Park SH, Park EJ, Choi JY, Park SH, Lee JJ, Lee S, Na JO, Choi CU, Lim HE, Kim JW, Kim EJ, Park CG, Oh DJ

PURPOSE: Calcium channel blockers diltiazem and nitrate have been used as selective coronary vasodilators for patients with significant coronary artery spasm (CAS). However, no study has compared the efficacy of...
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Recurrent Cardiac Arrest during a Nontransplant Operation Due to Variant Angina in a Liver Transplantation Patient

Yang J, Kim DY, Lee SK, Kim G

We report a case of recurrent cardiac arrest during a nontransplant operation in a liver transplant recipient with prior cardiac arrest during liver transplantation. A 45-year-old man who experienced cardiac...
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Association between the Red Cell Distribution Width and Vasospastic Angina in Korean Patients

Jung MH, Shin DI, Choi IJ, Seo SM, Choi S, Park MW, Kim PJ, Baek SH, Seung KB

PURPOSE: The association between the red cell distribution width (RDW) and vasospastic angina (VSA) has not been elucidated. We investigated the association of the RDW with the incidence and angiographic...
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Ventricular Tachycardia Associated Syncope in a Patient of Variant Angina without Chest Pain

Kim SJ, Juong JY, Park TH

A 68-year-old man was admitted for a syncope workup. After routine evaluation, he was diagnosed with syncope of an unknown cause and was discharged from the hospital. He was readmitted...
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A Case of Paroxysmal Atrial Fibrillation and Sinus Bradycardia due to Coronary Artery Spasm

Bae KN, Hwang BH, Lee KY, Jung SM

Paroxysmal atrial fibrillation may be induced by coronary spasm presenting with typical angina-like pain and palpitations. It is typically treated using rate or rhythm control strategies, although sustained coronary spasm...
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Development of Coronary Vasospasm during Adenosine-Stress Myocardial Perfusion CT Imaging

Nam JG, Choi SH, Kang BS, Bang MS, Kwon WJ

Adenosine is a short-acting coronary vasodilator, and it is widely used during pharmacological stress myocardial perfusion imaging. It has a well-established safety profile, and most of its side effects are...
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The Impact of Subclinical Hypothyroidism or Thyroid Autoimmunity on Coronary Vasospasm in Patients without Associated Cardiovascular Risk Factors

Lee SW, Cho KI, Kim HS, Heo JH, Cha TJ

BACKGROUND AND OBJECTIVES: Subclinical hypothyroidism is associated with endothelial dysfunction and impaired coronary flow reserve. However, the effect of subclinical hypothyroidism or thyroid autoimmunity on variant angina has yet to...
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Cardiogenic Shock in a Patient with Intermediate Coronary Artery Disease due to Preoperative Spasm

Shin D, Lee MJ, Park CH, Kim J, Lee DS, Oh JH

The best management strategy for angiographically intermediated coronary artery diseases remains controversial. Lesions, when coupled with spasm, can lead to catastrophic results and cardiogenic shock. We report a case of...
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Cardiac arrest following reversal of muscle relaxation by pyridostigmine: A case report

Jo JY, Yi JM, Lee YK, Ku SW, Park PH

  • KMID: 1908529
  • Anesth Pain Med.
  • 2014 Jul;9(3):205-208.
The anticholinesterase pyridostigmine is usually used as a reversal agent of non-depolarizing muscle relaxants in general anesthesia. Most adverse muscarinic effects of anticholinesterases are controlled by anticholinergics; however, there is...
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Coronary Spastic Angina and Life Threatening Arrhythmia despite Nitroglycerine Infusion

Shin KH, Cho WH, Lee DH, Lee S, Lim SH

Variant angina pectoris is characterized by chest symptoms at rest and transient ST elevation on the electrocardiography due to coronary artery spasm. Although most patients with coronary spasm respond well...
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Coronary artery vasospasm after atrial septal defect surgery

Yoon JW, Lee YS, Kim DK, Choi YH, Kim DJ, Lee JJ, Ahn HS, Cho WH

Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no...
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Coronary vasospasm caused by local infiltration of epinephrine after spinal anesthesia

Lee MG, Park HY, Lee CK, Choi JH, Choi YS

No abstract available.
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Refractory Vascular Spasm Associated with Coronary Bypass Grafting

Kim YS, Yoon YH, Kim JT, Shinn HK, Woo SI, Baek WK

Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the...
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Spontaneous Coronary Artery Dissection Mimicking Coronary Spasm Diagnosed by Intravascular Ultrasonography

Chung H, Lee SJ, Park JK, Choi IS, Won HY, Kim S, Cha JJ, Lee BK

Spontaneous coronary artery dissection (SCAD) is a rare and occasionally life-threatening cause of acute coronary syndrome. Patients may present with clinical scenarios ranging from angina pectoris to cardiogenic shock to...
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