Favorable outcomes of patients with vasospastic angina associated with cardiac arrest
| Autor: | Manjirou Sakuramoto, Takashi Nakagawa, Eiji Sato, Yoshiaki Mibiki, Akihiko Ishida, Akio Namekawa, Juri Komatsu, Hirokazu Sato, Tetsuo Yagi, Yoshihiro Yamashina |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Resuscitation Quit smoking Angina Pectoris Sudden cardiac arrest Internal medicine medicine Humans Outcome Aged Retrospective Studies Vasospastic angina Nitrates Medical treatment business.industry Smoking Cancer Cerebral hypoxia Middle Aged medicine.disease Calcium Channel Blockers Defibrillators Implantable Treatment Treatment Outcome Cardiology cardiovascular system Female Smoking Cessation medicine.symptom business Cardiology and Cardiovascular Medicine Out-of-Hospital Cardiac Arrest Follow-Up Studies |
| Zdroj: | Journal of Cardiology. 63(1):41-45 |
| ISSN: | 0914-5087 |
| DOI: | 10.1016/j.jjcc.2013.06.011 |
| Popis: | Background The long-term survival of vasospastic angina (VSA) patients is generally good, so long as they remain on calcium channel blockers (CCBs) and avoid smoking. However, the pathogenesis, appropriate treatments, and prognosis of VSA associated with cardiac arrest remain unclear. This study aimed to elucidate the clinical features and long-term outcomes of patients with VSA associated with cardiac arrest. Methods and results Eighteen consecutive patients with VSA associated with cardiac arrest [13 patients resuscitated after out-of-hospital cardiac arrest (OHCA) and 5 resuscitated after in-hospital-cardiac arrest] were retrospectively analyzed. Sixteen of the eighteen patients were smokers. None had other cardiac diseases possibly causing cardiac arrest. Although 1 patient resuscitated after OHCA later died of cerebral hypoxia, the remaining 17 were discharged without complications. One patient died of cancer 50 months after resuscitation. The other 16 patients are still alive and none have shown ventricular arrhythmias, syncope, or cardiac arrest during a mean follow-up of 67 months. All are treated with long-acting CCBs/nitrates and successfully quit smoking. Six patients received implantable cardioverter defibrillators (ICD). However, none demonstrated any ventricular arrhythmias and appropriate ICD actuation was achieved. Conclusion Appropriate medical treatment can achieve favorable long-term outcomes even for patients with VSA associated with cardiac arrest. |
| Databáze: | OpenAIRE |
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