VASSILL K. PRCHKOV, M.D.; SAKTI MOOKHERJEE, M.D., M.R.C.P.; SCHIESS WILLIAM, M.D.; ANIS I. OBEID, M.D., F.A.C.C.
To the editor: Ventricular tachyarrhythmias and strong propensity to ventricular fibrillation (1) have been observed frequently in Prinzmetal's angina. Two patients with arrhythmias in the absence of chest pain have been reported, one with complete atrioventricular block during episodes of "silent variant angina" (2) and one with variant angina presenting with recurrent ventricular tachyarrhythmias and ventricular fibrillation (3).
Here we report a patient in whom episodes of "silent variant angina" were associated with various ventricular tachyarrhythmias resulting from spasm (4) of the right coronary artery, which was documented.
A 52-year-old, white, male school bus driver collapsed suddenly at the entrance
PRCHKOV VK, MOOKHERJEE S, WILLIAM S, OBEID AI. Variant Anginal Syndrome, Coronary Artery Spasm, and Ventricular Fibrillation in Absence of Chest Pain. Ann Intern Med. ;81:858–859. doi: 10.7326/0003-4819-81-6-858
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Published: Ann Intern Med. 1974;81(6):858-859.
Cardiology, Coronary Heart Disease.
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