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  • Title: Cardiac arrest related to coronary spasm in patients with variant angina: a three-case study.
    Author: Seniuk W, Mularek-Kubzdela T, Grygier M, Grajek S, Cieśliński A.
    Journal: J Intern Med; 2002 Oct; 252(4):368-76. PubMed ID: 12366610.
    Abstract:
    We present three patients with variant angina pectoris and episodes of cardiac arrest. All of them had typical clinical symptoms, ST-segment changes in electrocardiogram, and coronary artery spasm confirmed by arteriography. They were treated with high doses of calcium antagonists and nitrates. An automatic cardioverter-defibrillator was implanted in the patient who developed ventricular fibrillation despite therapy with calcium antagonists. In another patient a DDD pacemaker was implanted because of high-degree atrioventricular block.
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