An unusual case of pulseless electrical activity arrest associated with Prinzmetal's angina

Niranjan J. Gaikwad; Martin McNamara; Ravindra Batra; Gregory Aroney; Rohan Jayasinghe

An unusual case of pulseless electrical activity arrest associated with Prinzmetal's angina

Niranjan J. Gaikwad^*, Martin McNamara, Ravindra Batra, Gregory Aroney, Rohan Jayasinghe

^*Corresponding author for this work

Faculty of Medicine, Health and Human Sciences

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a patient with PA after surgical drainage of an abscess in the first web-space of the left hand. We propose that the Bezold-Jarisch reflex may be the underlying mechanism responsible for this arrest. The case also highlights the danger of ceasing treatment with nitrates and calcium channel blockers in patients with PA.

Original language	English
Pages (from-to)	269-272
Number of pages	4
Journal	Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
Volume	12
Issue number	4
Publication status	Published - Dec 2010

Cite this

@article{804b8169460b471a8888374b8dde1b56,

title = "An unusual case of pulseless electrical activity arrest associated with Prinzmetal's angina",

abstract = "Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a patient with PA after surgical drainage of an abscess in the first web-space of the left hand. We propose that the Bezold-Jarisch reflex may be the underlying mechanism responsible for this arrest. The case also highlights the danger of ceasing treatment with nitrates and calcium channel blockers in patients with PA.",

author = "Gaikwad, {Niranjan J.} and Martin McNamara and Ravindra Batra and Gregory Aroney and Rohan Jayasinghe",

year = "2010",

month = dec,

language = "English",

volume = "12",

pages = "269--272",

journal = "Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine",

issn = "1441-2772",

publisher = "AUSTRALASIAN MED PUBL CO LTD",

number = "4",

}

TY - JOUR

T1 - An unusual case of pulseless electrical activity arrest associated with Prinzmetal's angina

AU - Gaikwad, Niranjan J.

AU - McNamara, Martin

AU - Batra, Ravindra

AU - Aroney, Gregory

AU - Jayasinghe, Rohan

PY - 2010/12

Y1 - 2010/12

N2 - Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a patient with PA after surgical drainage of an abscess in the first web-space of the left hand. We propose that the Bezold-Jarisch reflex may be the underlying mechanism responsible for this arrest. The case also highlights the danger of ceasing treatment with nitrates and calcium channel blockers in patients with PA.

AB - Cardiac arrest due to ventricular tachyrhythmia in the setting of Prinzmetal's angina (PA) has been well reported in the literature. However, to our knowledge, there have been no reports of a pulseless electrical activity (PEA) arrest in patients with PA. We report a case of PEA arrest in a patient with PA after surgical drainage of an abscess in the first web-space of the left hand. We propose that the Bezold-Jarisch reflex may be the underlying mechanism responsible for this arrest. The case also highlights the danger of ceasing treatment with nitrates and calcium channel blockers in patients with PA.

UR - http://www.scopus.com/inward/record.url?scp=79953018807&partnerID=8YFLogxK

M3 - Article

C2 - 21143088

AN - SCOPUS:79953018807

VL - 12

SP - 269

EP - 272

JO - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

JF - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

SN - 1441-2772

IS - 4

ER -

An unusual case of pulseless electrical activity arrest associated with Prinzmetal's angina

Abstract

Other files and links

Fingerprint

Cite this