Key result
Percutaneous transluminal angioplasty and stenting of severe right coronary artery stenoses successfully prevented further syncopal attacks in a patient with ischemia-induced ventricular fibrillation.
Why the study?
Does percutaneous transluminal angioplasty and stenting prevent recurrent syncope in a patient with silent ischemia-induced ventricular fibrillation and asystole?
Case Report (n=1)
No
Does percutaneous transluminal angioplasty and stenting prevent recurrent syncope in a patient with silent ischemia-induced ventricular fibrillation and asystole?
This case highlights that silent ischemia can trigger complex, spontaneously terminating arrhythmias presenting as syncope, which can be effectively resolved with coronary revascularization.
Revascularization may resolve syncope from silent ischemia-induced VF; case report leaves open generalizability beyond single-patient observations.
A 57 year old man was admitted for investigation of recurrent syncopal attacks. Holter monitoring during an attack while in hospital revealed a unique sequence of gross ST segment elevation, ventricular tachycardia, prolonged ventricular fibrillation, asystole, junctional and ventricular escape rhythm, and finally spontaneous restoration of sinus rhythm with severe ST segment depression. Subsequent coronary arteriography demonstrated severe stenoses of the right coronary artery, prompting percutaneous transluminal angioplasty and stenting. The patient has had no further syncopal attacks.
No takes yet. Share an insight, caveat, or question.
Mustafa et al. (1998) conducted a case report in Recurrent syncopal attacks (n=1). Percutaneous transluminal angioplasty and stenting was evaluated on Recurrence of syncopal attacks. Percutaneous transluminal angioplasty and stenting of severe right coronary artery stenoses successfully prevented further syncopal attacks in a patient with ischemia-induced ventricular fibrillation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: