%0 Journal Article
%T Difficult management of a patient presenting with recurrent syncope caused by diffuse vasospasm
%A Abdulkadir Uslu
%A Cem Dogan
%A Mehmet Celik
%A Munevver Sari
%A Ozge Akgun
%A Serdar Demir
%A Taylan Akgun
%J Archive of "Northern Clinics of Istanbul".
%D 2018
%R 10.14744/nci.2017.82160
%X Spontaneous and simultaneous multivessel coronary artery spasm may present with multisite myocardial ischemia, atrioventricular block, acute lung edema, cardiogenic shock, or ventricular fibrillation. In a case of syncope caused by vasospasm, the underlying mechanism may be complex, such as atrioventricular block and/or ventricular arrhythmia. Dual implantable cardioverter defibrillator (ICD) placement should be considered along with optimal medical treatment. This report is a description of a 57-year-old male patient who was admitted to the hospital with chest pain followed by loss of consciousness. As the patient had bradycardia, a diffuse spasm, and life-threatening ventricular arrhythmia during ischemic episodes, a dual ICD device was implanted. ICD treatment may be a good option in cases with a diffuse spasm that is hard to control with medical treatment due to the risk of life-threatening ventricular arrhythmia
%K Complete atrioventrikuler block
%K syncope
%K vasospasm
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323576/