[Recurrent ventricular fibrillation in a patient with angiographically normal coronary arteries and intermittent ST...

We report on a patient who was admitted to the hospital because of severe angina pectoris. During hospitalization extensive ECG alterations and intermittent ventricular fibrillation were observed. However, coronary angiography showed normal coronary arteries and left ventricular function. Treatment with high-dose nitrates and Ca-antagonists gradually improved the patient's clinical situation. Although a Prinzmetal angina seemed likely, a vasculitis of the coronary arteries could not be excluded with certainty. Therefore, additional corticoid therapy was administered to the patient. After 5 weeks the patient was discharged from the hospital without any pathological clinical symptoms.