유의한 관상동맥 질환이 없이 관상동맥 연축에 의해 발생한 심실세동 1예
A case of coronary vasospasm-induced ventricular fibrillation without significant coronary artery disease
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초록
일본과 마찬가지로 서양에 비해 이형 협심증의 발생률이 높지만, 아직 국내에서는 이형 협심증 환자에서의 관상동맥 질환의 유무와 부정맥의 관계에 대한 통계나 연구가 부족한 상태이다. 이에 저자들은 의미있는 관상동맥 질환이 동반되어 있지 않았던 이형 협심증 환자에서 관상동맥 연축에 의해 발생한 심실세동 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Coronary vasospasm plays an important role in the pathogenesis not only of variant angina, but also of ischemic heart disease in general, including other forms of angina pectoris, acute myocardial infarction, and sudden death. Vasoactive events leading to an acute reduction in regional myocardial flow in the presence of a normal or previously compromised circulation are a common cause of arrhythmias. However, coronary vasospasm-induced electrical and mechanical complications are rarely reported in patients with angiographically normal or near-normal coronary arteries. This paper presents our experience with a patient presenting with coronary vasospasm-associated ventricular fibrillation without findings of significant coronary artery disease.
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