An Unusual Case of Pulseless Electrical Activity Arrest Associated with Prinzmetal's Angina

Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a pat...

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Bibliographic Details
Published in:	Critical care and resuscitation Vol. 12; no. 4; pp. 269 - 272
Main Authors:	Gaikwad, Niranjan J, McNamara, Martin, Batra, Ravindra, Aroney, Gregory, Jayasinghe, Rohan
Format:	Journal Article
Language:	English
Published:	Australia 01-12-2010
Subjects:	Abscess - etiology Abscess - therapy Angina Pectoris, Variant - complications Angina Pectoris, Variant - diagnosis Angina Pectoris, Variant - therapy Cardiac arrest Cardiovascular system Case studies Complications Diseases Drainage - adverse effects Female Health risk assessment Heart Arrest - diagnosis Heart Arrest - etiology Heart Arrest - therapy Humans Medical care Middle Aged Reflex Risk factors Ventricular tachycardia Wounds, Penetrating - complications Wounds, Penetrating - therapy
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Summary:	Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a patient with PA after surgical drainage of an abscess in the first web-space of the left hand. We propose that the Bezold-Jarisch reflex may be the underlying mechanism responsible for this arrest. The case also highlights the danger of ceasing treatment with nitrates and calcium channel blockers in patients with PA.
Bibliography:	Critical Care and Resuscitation, Vol. 12, No. 4, Dec 2010: 269-272 CCR.jpg ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1441-2772
DOI:	10.1016/S1441-2772(23)01347-9