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The challenges of treating recurrent polymorphic ventricular tachycardia due to coronary vasospasm: Lessons from an
Naveen Trehan1, Mobeen Ur Rehman1, Anupama Kottam1
1Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, MI 48201, USA.
Abstract:
Coronary artery vasospasm can cause recurrent anginal episodes with ST-segment elevation. Vasospasm induced myocardial ischemia can lead to arrhythmias including life threatening ventricular tachycardia (VT). Percutaneous coronary intervention (PCI), although not routinely recommended for treating vasospastic angina, can be considered for discrete coronary spasm that is not amenable to vasodilator therapy. We present a challenging case of a 41-year-old lady with recurrent episodes of vasospastic angina and VT refractory to medical therapy, which was successfully treated with PCI and an implantable cardioverter defibrillator.
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