Author/Editor		Pernat, Andrej; Gričar, Marko
Title		Izgube zavesti ob napadih bolečin v prsih pri bolniku z normalnimi koronarnimi arterijami
Translated title		Syncope accompanying chest pains in a patient with angiographically normal coronary arteries
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 429-32
Language		slo
Abstract		We describe a case of 41 year old male who presented with chest pain accompanied with collapse. At regional hospital electrocardiographic ST segment elevations were registered during attacks of chest pain. Coronarography following transfer to terciary center revealed normal coronary arteries. Antianginal medication was discontinued and that was followed by recurrence of chest pain. This was accompanied with ischemic ST segment elevation in the inferior leads, sinoatrial arrest, and brady cardia 35 heats/min. Temporary external pacing was necessary. All EKC changes reversed to the normal after the chest pain had been alleviated. Treatment with Ca channel blocker was instituted and chest pain did not recur. Presented patient has typical syndrome of vasospastic angina complicated with sinoatrial blocade and collapse. This was ascribed to the reversible ischemia of sinoatrial node.
Descriptors		SYNCOPE CHEST PAIN CORONARY VESSELS ADULT CORONARY ANGIOGRAPHY PACEMAKER, ARTIFICIAL NITROGLYCERIN ANGINA PECTORIS ELECTROCARDIOGRAPHY CALCIUM CHANNEL BLOCKERS CORONARY VASOSPASM PROGNOSIS