Key result
Coronary artery bypass surgery resulted in graft patency at 6 months in a 47-year-old man with painless Prinzmetal-like ST-segment elevation and recurrent ventricular arrhythmias.
Case Report (n=1)
Prinzmetal-like ST-segment elevation without accompanying pain signifies the same coronary artery pathology and prognostic implications as classical Prinzmetal angina syndrome.
May support CABG for refractory arrhythmias in painless Prinzmetal variant; leaves open generalizability beyond single case.
A 47-year-old man had syncope, periodic ST-segment elevation like that described by Prinzmetal but unassociated with pain, transient left-posterior hemiblock, and recurrent ventricular tachycardia and fibrillation. Coronary arteriography showed 90% obstruction of the right coronary artery; subsequently, he had coronary artery bypass surgery. Studies 6 months after surgery showed graft patency. The Prinzmetal ECG change without accompanying pain is discussed. This finding signifies the same coronary artery pathology as in the classical Prinzmetal angina syndrome and therefore it has the same prognostic implications.
No takes yet. Share an insight, caveat, or question.
H. Joel Gorfinkel (1973) conducted a case report in Painless Prinzmetal-like ST-segment elevation and recurrent ventricular arrhythmias (n=1). Coronary artery bypass surgery was evaluated on Graft patency. Coronary artery bypass surgery resulted in graft patency at 6 months in a 47-year-old man with painless Prinzmetal-like ST-segment elevation and recurrent ventricular arrhythmias.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: