Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol

Radiofrequency ablation is an established treatment for atrial fibrillation (AF). However, coronary artery spasm (CAS) is a rare but a potentially lethal complication associated with this procedure. A 54-year-old man with paroxysmal AF underwent pulmonary vein isolation. The procedure was completed...

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Autores principales: Okuya, Yoshiyuki, Park, Jae Yoon, Garg, Anuj, Moussa, Issam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112970/
https://www.ncbi.nlm.nih.gov/pubmed/33162486
http://dx.doi.org/10.2169/internalmedicine.6130-20
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author Okuya, Yoshiyuki
Park, Jae Yoon
Garg, Anuj
Moussa, Issam
author_facet Okuya, Yoshiyuki
Park, Jae Yoon
Garg, Anuj
Moussa, Issam
author_sort Okuya, Yoshiyuki
collection PubMed
description Radiofrequency ablation is an established treatment for atrial fibrillation (AF). However, coronary artery spasm (CAS) is a rare but a potentially lethal complication associated with this procedure. A 54-year-old man with paroxysmal AF underwent pulmonary vein isolation. The procedure was completed and AF could not be induced after burst pacing and the administration of isoproterenol. Suddenly, ST-segment elevation developed in the anterior leads and frequent premature ventricular contractions followed by non-sustained ventricular fibrillation. The diagnosis of CAS was made by urgent coronary angiography. We identified isoproterenol as a potential cause of CAS. Physicians should be aware of this potentially lethal side effect.
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spelling pubmed-81129702021-05-18 Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol Okuya, Yoshiyuki Park, Jae Yoon Garg, Anuj Moussa, Issam Intern Med Case Report Radiofrequency ablation is an established treatment for atrial fibrillation (AF). However, coronary artery spasm (CAS) is a rare but a potentially lethal complication associated with this procedure. A 54-year-old man with paroxysmal AF underwent pulmonary vein isolation. The procedure was completed and AF could not be induced after burst pacing and the administration of isoproterenol. Suddenly, ST-segment elevation developed in the anterior leads and frequent premature ventricular contractions followed by non-sustained ventricular fibrillation. The diagnosis of CAS was made by urgent coronary angiography. We identified isoproterenol as a potential cause of CAS. Physicians should be aware of this potentially lethal side effect. The Japanese Society of Internal Medicine 2020-11-09 2021-04-15 /pmc/articles/PMC8112970/ /pubmed/33162486 http://dx.doi.org/10.2169/internalmedicine.6130-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Okuya, Yoshiyuki
Park, Jae Yoon
Garg, Anuj
Moussa, Issam
Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title_full Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title_fullStr Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title_full_unstemmed Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title_short Coronary Artery Spasm During Catheter Ablation Caused by the Intravenous Infusion of Isoproterenol
title_sort coronary artery spasm during catheter ablation caused by the intravenous infusion of isoproterenol
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112970/
https://www.ncbi.nlm.nih.gov/pubmed/33162486
http://dx.doi.org/10.2169/internalmedicine.6130-20
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AT garganuj coronaryarteryspasmduringcatheterablationcausedbytheintravenousinfusionofisoproterenol
AT moussaissam coronaryarteryspasmduringcatheterablationcausedbytheintravenousinfusionofisoproterenol

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