Abstract
We present a case of variant angina complicated by recurrent sudden cardiac death. During coronary angiography a diffuse 3-vessel vasoconstriction was observed progressing to a more severe vasoconstriction in the mid LAD. Intracoronary administration of urapidil did not reverse the vasoconstriction of the LAD; instead an occlusive vasospasm occurred accompanied by marked ischaemia.
MeSH terms
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Aged
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Angina Pectoris, Variant / diagnosis
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Angina Pectoris, Variant / physiopathology*
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Angina Pectoris, Variant / therapy*
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Angioplasty, Balloon, Coronary
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Atrial Fibrillation / diagnosis
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Atrial Fibrillation / physiopathology
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Atrial Fibrillation / therapy
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Coronary Angiography
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Coronary Vasospasm / diagnosis
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Coronary Vasospasm / physiopathology
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Coronary Vasospasm / therapy
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Coronary Vessels / drug effects*
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Coronary Vessels / physiopathology*
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Coronary Vessels / surgery
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Death, Sudden, Cardiac / pathology
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Echocardiography
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Electrocardiography
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Electrophysiologic Techniques, Cardiac
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Humans
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Male
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Piperazines / therapeutic use*
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Vasoconstriction / drug effects
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Vasodilator Agents / therapeutic use*
Substances
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Piperazines
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Vasodilator Agents
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urapidil