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Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm
This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest wh...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861043/ https://www.ncbi.nlm.nih.gov/pubmed/31763597 http://dx.doi.org/10.5811/cpcem.2019.9.43762 |
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author | Wilson, Christopher J. Melnychuk, Eric Bernett, John |
author_facet | Wilson, Christopher J. Melnychuk, Eric Bernett, John |
author_sort | Wilson, Christopher J. |
collection | PubMed |
description | This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest while in the ED. Post-defibrillation electrocardiogram showed changes suggestive of an ST-elevation myocardial infarction (STEMI). Cardiac catheterization showed severe left anterior descending spasm with no evidence of disease. Coronary vasospasm is a consideration in the differential causes of ventricular fibrillation and STEMI seen in the ED. |
format | Online Article Text |
id | pubmed-6861043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-68610432019-11-22 Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm Wilson, Christopher J. Melnychuk, Eric Bernett, John Clin Pract Cases Emerg Med Case Report This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest while in the ED. Post-defibrillation electrocardiogram showed changes suggestive of an ST-elevation myocardial infarction (STEMI). Cardiac catheterization showed severe left anterior descending spasm with no evidence of disease. Coronary vasospasm is a consideration in the differential causes of ventricular fibrillation and STEMI seen in the ED. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2019-10-14 /pmc/articles/PMC6861043/ /pubmed/31763597 http://dx.doi.org/10.5811/cpcem.2019.9.43762 Text en Copyright: © 2019 Wilson et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Case Report Wilson, Christopher J. Melnychuk, Eric Bernett, John Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title | Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title_full | Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title_fullStr | Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title_full_unstemmed | Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title_short | Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm |
title_sort | ventricular fibrillation cardiac arrest in young female from diffuse left anterior descending coronary vasospasm |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861043/ https://www.ncbi.nlm.nih.gov/pubmed/31763597 http://dx.doi.org/10.5811/cpcem.2019.9.43762 |
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