Bradyarrhythmic syncope in a patient with Prinzmetal's variant angina: a case report

Am J Emerg Med. 2013 Jun;31(6):996.e1-4. doi: 10.1016/j.ajem.2013.01.024. Epub 2013 Apr 18.

Abstract

We present the case of a 46-year-old woman with Prinzmetal's angina and syncope due to severe bradyarrhythmias. Dynamic electrical changes were documented on 12-lead 24-hour electrocardiographic (ECG) monitoring. We highlight the importance of continuous ECG monitoring in making the diagnosis and the indication for permanent cardiac pacing in this case.

Publication types

  • Case Reports

MeSH terms

  • Angina Pectoris, Variant / diagnosis
  • Angina Pectoris, Variant / etiology*
  • Angina Pectoris, Variant / physiopathology
  • Angina Pectoris, Variant / therapy
  • Bradycardia / complications*
  • Bradycardia / physiopathology
  • Electrocardiography
  • Electrocardiography, Ambulatory
  • Female
  • Humans
  • Middle Aged
  • Pacemaker, Artificial
  • Syncope / etiology*
  • Syncope / physiopathology

Supplementary concepts

  • Prinzmetal's variant angina