Variant Anginal Syndrome, Coronary Artery Spasm, and Ventricular Fibrillation in Absence of Chest Pain
Authors: VASSILL K. PRCHKOV
Journal: Annals of Internal Medicine (1974)

Letters1 December 1974Variant Anginal Syndrome, Coronary Artery Spasm, and Ventricular Fibrillation in Absence of Chest PainVASSILL K. PRCHKOV, M.D., SAKTI MOOKHERJEE, M.D., M.R.C.P., SCHIESS WILLIAM, M.D., ANIS I. OBEID, M.D., F.A.C.C.VASSILL K. PRCHKOV, M.D.Search for more papers by this author, SAKTI MOOKHERJEE, M.D., M.R.C.P.Search for more papers by this author, SCHIESS WILLIAM, M.D.Search for more papers by this author, ANIS I. OBEID, M.D., F.A.C.C.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-81-6-858 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Ventricular tachyarrhythmias and strong propensity to ventricular fibrillation (1) have been observed frequently in Prinzmetal's angina. Two patients with arrhythmias in the absence of chest pain have been reported, one with complete atrioventricular block during episodes of "silent variant angina" (2) and one with variant angina presenting with recurrent ventricular tachyarrhythmias and ventricular fibrillation (3).Here we report a patient in whom episodes of "silent variant angina" were associated with various ventricular tachyarrhythmias resulting from spasm (4) of the right coronary artery, which was documented.A 52-year-old, white, male school bus driver collapsed suddenly at the entrance...References1. MACALPINKATTUSALVARO RAA: Angina pectoris at rest with preservation of exercise capacity. Prinzmetal variant angina. Circulation 47:946-958, 1973 CrossrefMedlineGoogle Scholar2. LASSERde la PAZ RN: Repetitive transient myocardial ischemia, Prinzmetal type, without angina pectoris, presenting with Stokes-Adams attacks. Chest 64:350-352, 1973 CrossrefMedlineGoogle Scholar3. GORFINNELINGLESBYLANSING HTA: ST segment elevation, transient left posterior hemiblock and recurrent ventricular arrhythmias unassociated with pain. A variant of Prinzmetal's anginal syndrome. Ann Intern Med 79:795-799, 1973 LinkGoogle Scholar4. CHENGBASHOURKELSER TTG: Variant angina of Prinzmetal with normal coronary arteriograms. A variant of the variant. Circulation 47:476-485, 1973 CrossrefMedlineGoogle Scholar5. DHURANDHARWATTSILVER RDM: Prinzmetal's variant form of angina with arteriographic evidence of coronary arterial spasm. Am J Cardiol 39:902-905, 1972 CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Department of Medicine Cardiology Section State University of New York Upstate Medical Center Syracuse, New York 13210 Veterans Administration Hospital Syracuse, New York 13210 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA single electrical pulse within the protective zone of each cardiac cycle prevented reperfusion-induced ventricular tachycardia in conscious miceCoronary microvascular dysfunction is associated with baseline QTc prolongation amongst patients with chest pain and non-obstructive coronary artery diseaseReperfusion-induced sustained ventricular tachycardia, leading to ventricular fibrillation, in chronically instrumented, intact, conscious miceShould an implanted defibrillator be considered in patients with vasospastic angina?Painless coronary spasm causing recurrent ventricular tachycardiaST-segment instability preceding simultaneous cardiac arrest and AMI in a patient undergoing continuous 12-lead ECG monitoringLife-Threatening Ventricular Arrhythmias in Patients with Silent Myocardial Ischemia Due to Coronary Artery SpasmNicardipine for angina pectoris at rest and coronary arterial spasmThe Role of Coronary Artery Spasm in Acute Ischemic SyndromesNatural history of pure coronary artery spasm in patients treated medicallyCoronary spasm, coronary thrombosis, and myocardial infarction: A hypothesis concerning the pathophysiology of acute myocardial infarctionROLE OF CORONARY ARTERIAL SPASM IN SUDDEN CORONARY ISCHEMIC DEATHComparison of verapamil and nifedipine in the treatment of variant angina pectoris: Preliminary observations in 10 patientsA Controlled Trial of Verapamil for Prinzmetal's Variant AnginaCoronary artery spasm and perioperative cardiac arrestRelation of coronary arterial spasm to sites of organic stenosisCorrelation of the location of coronary arterial spasm with the lead distribution of ST segment elevation during variant anginaSyndrome of symptomatic coronary arterial spasm with nearly normal coronary arteriogramsIs coronary arterial spasm a risk factor for coronary atherosclerosis?Coronary Artery SpasmROBERT J. LUCHI, M.D., ROBERT A. CHAHINE, M.D., ALBERT E. RAIZNER, M.D.Stress and disease: The missing link. A vasospastic theory I. Acute myocardial infarction — A potentially reversible event?Coronary arterial spasm and provocative testing in ischemic heart diseaseA coronary vasoconstrictor substance is present in regular and “decaffeinated” forms of both percolated and instant coffeeCoronary artery spasm: The effect of cardiovascular laboratory premedication practiceSexual Qualities in Case ReportsCHERILL M. PARMENTIER-PERERA, B.A. 1 December 1974Volume 81, Issue 6Page: 858-859KeywordsAnginaArrhythmiaCoronary arteriesIschemiaPatient advocacyRight coronary arteryTachycardiaVentricular fibrillation Issue Published: 1 December 1974 PDF downloadLoading ...