Coronary Spasm and Polymorphic Ventricular Tachycardia One Year After Takotsubo

Article: Coronary Spasm and Polymorphic Ventricular Tachycardia One Year After Takotsubo

Authors: Noah N. Williford MD, Alexander Mazur MD, Troy Rhodes MD, PhD, Elaine Demetroulis MD, Milena A. Gebska MD, PhD

Journal: Mayo Clin Proc Innov Qual Outcomes. 2019 Jun; 3(2): 231–234.

Abstract:
Stress cardiomyopathy is typically considered to be a disease with a favorable long-term prognosis, with malignant arrhythmias accompanying only the acute phase. We describe a 51-year-old female who presented with palpitations one year after stress cardiomyopathy and complete recovery of apical left ventricular wall motion. Coronary spasm was strongly suspected based on transient ST-segment elevations followed by sustained polymorphic ventricular tachycardia captured on ambulatory Holter. Contrast injection during coronary angiography reproduced spasm and ventricular arrhythmia that resolved with intracoronary nitroglycerine. The patient was intolerant to nitrates therefore discharged on 2 calcium channel blockers. Shared decision was made to implant cardioverter defibrillator.

Link to journal online: https://www.sciencedirect.com/science/article/pii/S2542454819300062

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s