Avtor/Urednik     Pernat, Andrej; Gričar, Marko
Naslov     Izgube zavesti ob napadih bolečin v prsih pri bolniku z normalnimi koronarnimi arterijami
Prevedeni naslov     Syncope accompanying chest pains in a patient with angiographically normal coronary arteries
Tip     članek
Vir     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,
Leto izdaje     2000
Obseg     str. 429-32
Jezik     slo
Abstrakt     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.
Deskriptorji     SYNCOPE
CHEST PAIN
CORONARY VESSELS
ADULT
CORONARY ANGIOGRAPHY
PACEMAKER, ARTIFICIAL
NITROGLYCERIN
ANGINA PECTORIS
ELECTROCARDIOGRAPHY
CALCIUM CHANNEL BLOCKERS
CORONARY VASOSPASM
PROGNOSIS