[Non invasive methylergometrine test should be carried out after cardiac arrest due to coronary spasm?].

Abstract

A 59-year-old man was admitted after cardiac arrest with successful reanimation. There was no significant coronary lesion. We conclude to the diagnosis of coronary spasm after the occurrence of a chest pain with anterior ST elevation reversible with intravenous nitrates. One month later, non-invasive methylergometrine test was carried out and complicated by a cardiac arrest due to complete heart block and asystole treated by chest compression, molsidomine and epinephrine. No cardiac event occurred within the following six months. Technique (invasive versus not invasive) and indication of methylergometrine test for the follow-up of severe manifestations of coronary spasm should be better specified in international guidelines.

• Authors: D Guindolet, F Monsel, J-B Estève, J Sergent, O Nallet
• Journal: Annales de cardiologie et d'angeiologie (Ann Cardiol Angeiol (Paris)) Vol. 59 Issue 5 Pg. 311-3 (Nov 2010) ISSN: 1768-3181 [Electronic] France
• Vernacular Title: Faut-il faire un test au méthergin non invasif après un arrêt cardiaque par spasme coronaire?
• PMID: 20851379 (Publication Type: Case Reports, English Abstract, Journal Article)
• Copyright: Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Chemical References

• Methylergonovine

Topics

• Coronary Vasospasm (complications, diagnosis)
• Heart Arrest (etiology)
• Humans
• Male
• Methylergonovine
• Middle Aged