Curyło Adam, Jankowski Piotr, Brzozowska-Kiszka Małgorzata, Kawecka-Jaszcz Kalina
I Klinika Kardiologii, Collegium Medicum UJ, ul. Kopernika 17, 31-501 Kraków.
Kardiol Pol. 2006 Apr;64(4):419-22.
We present a case of a 44-year-old male with recurrent episodes of cardiac arrest in the course of Prinzmetal's angina. Episodes of variant angina can be life threatening due to episodes of advanced atrioventricular block, asystole, ventricular tachycardia or ventricular fibrillation. It has been suggested to implant an ICD in all patients with variant angina after cardiac arrest. This patient received an ICD, however, he died suddenly 6 months later. The possible mechanism of cardiac arrest was an electromechanical dissociation.
我们报告一例44岁男性，在变异型心绞痛病程中反复发生心脏骤停。由于发生高度房室传导阻滞、心脏停搏、室性心动过速或心室颤动，变异型心绞痛发作可能危及生命。有人建议对所有心脏骤停后的变异型心绞痛患者植入植入式心脏复律除颤器（ICD）。该患者接受了ICD植入，但6个月后突然死亡。心脏骤停的可能机制是电机械分离。
