Abstract
We present three patients with variant angina pectoris and episodes of cardiac arrest. All of them had typical clinical symptoms, ST-segment changes in electrocardiogram, and coronary artery spasm confirmed by arteriography. They were treated with high doses of calcium antagonists and nitrates. An automatic cardioverter-defibrillator was implanted in the patient who developed ventricular fibrillation despite therapy with calcium antagonists. In another patient a DDD pacemaker was implanted because of high-degree atrioventricular block.
Publication types
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Case Reports
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Comparative Study
MeSH terms
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Amiodarone / administration & dosage
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Amiodarone / therapeutic use
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Angina Pectoris, Variant / complications*
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Angina Pectoris, Variant / diagnosis
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Angina Pectoris, Variant / diagnostic imaging
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Angina Pectoris, Variant / drug therapy
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Anti-Arrhythmia Agents / administration & dosage
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Anti-Arrhythmia Agents / therapeutic use
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Aspirin / administration & dosage
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Aspirin / therapeutic use
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Calcium Channel Blockers / administration & dosage
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Calcium Channel Blockers / therapeutic use
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Cardiovascular Agents / administration & dosage
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Cardiovascular Agents / therapeutic use
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Coronary Angiography
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Diltiazem / administration & dosage
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Diltiazem / therapeutic use
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Electrocardiography
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Female
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Follow-Up Studies
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Heart Arrest / etiology*
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Heart Arrest / therapy
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Heart Block / diagnosis
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Heart Block / etiology
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Heart Block / therapy
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Humans
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Male
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Middle Aged
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Nitrates / administration & dosage
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Nitrates / therapeutic use
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Nitroglycerin / administration & dosage
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Nitroglycerin / therapeutic use
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Pacemaker, Artificial
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Platelet Aggregation Inhibitors / administration & dosage
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Platelet Aggregation Inhibitors / therapeutic use
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Spasm / etiology
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Time Factors
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Vasodilator Agents / administration & dosage
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Vasodilator Agents / therapeutic use
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Ventricular Fibrillation / etiology
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Ventricular Fibrillation / therapy
Substances
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Anti-Arrhythmia Agents
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Calcium Channel Blockers
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Cardiovascular Agents
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Nitrates
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Platelet Aggregation Inhibitors
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Vasodilator Agents
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Diltiazem
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Nitroglycerin
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Amiodarone
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Aspirin