TY - JOUR TT - Complete heart block and acute inferior myocardial infarction due to generalized vasospasm AU - İcen, Yahya Kemal AU - Koc, Mevlut PY - 2018 DA - January DO - 10.17546/msd.375677 JF - Medical Science and Discovery JO - Med Sci Discov PB - Zafer AKAN WT - DergiPark SN - 2148-6832 SP - 103 EP - 105 VL - 5 IS - 1 KW - : Complete heart block KW - generalized vasospasm KW - coronary N2 - Sixtyone years oldfemale patient had applied to emergency department with chest pain. Her ECGtaken was compliant with acute inferior myocardial infarction and completeheart block. In her coronary angiography (CAG), there was generalized vasospasmfrom osteal in left anterior descending coronary artery (LAD) and circumflexartery (CX). 10 mcg/kg/mn nitrate was infused in the coronary and vasospasm isdisappeared. After CAG, her ECG was normal and she discharged with medicaltreatment recommendations CR - 1. Hirofumi Yasue, Hitoshi Nakagawa, Teruhiko Itoh, Eisaku Harada, Yuji Mizuno. Coronary artery spasm—–Clinical features, diagnosis, pathogenesis, and treatment. Journal of Cardiology 2008;51: 2–17. CR - 2. JCS Joint Working Group. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014;78:2779-801. CR - 3. Kusama Y, Kodani E, Nakagomi A, et al. Variant angina and coronary artery spasm: a the clinical spectrum, pathophysiology, and management. J Nippon Med Sch 2011;78:4–12 CR - 4. Ledakowicz-Polak A, Ptaszynski P, Polak L, et al. Prinzmetal’s variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma. Cardiol J. 2009;16:269-72. CR - 5. Filipa Ferreira, Lorette Cardona, Bruno Valente, João Abreu, Eduardo Antunes, Lurdes Ferreira, José Alberto Oliveira, Rui Ferreira. High-degree atrioventricular block induced by Prinzmetal angına. Rev Port Cardiol. 2012;31:233-235 CR - 6. Viji S. Thomson, Osama Tariq, and Hafidh Al Hadhi. Malignant Multivessel Coronary Spasm Complicated by Myocardial Infarction, Transient Complete Heart Block, Ventricular Fibrillation, Cardiogenic Shock and Ischemic Stroke. Oman Medical Journal 2014; 4:296-298 CR - 7. Seniuk W, Mularek-Kubzdela T, Grygier M, Grajek S, Cieśliński A. Cardiac arrest related to coronary spasm in patients with variant angina: a three-case study. J Intern Med. 2002;252:368-76. CR - 8. Siliste RN, Savulescu-Fiedler I, Siliste C. Bradyarrhythmic syncope in a patient with Prinzmetal's variant angina: a case report. American Journal of Emergency Medicine 2013; 996.e1–996.e4 UR - https://doi.org/10.17546/msd.375677 L1 - https://dergipark.org.tr/tr/download/article-file/409070 ER -