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Coronary slow flow phenomenon and risk for sudden cardiac death due to ventricular arrhythmias: a case report and review of literature. Clin Cardiol 2008 Aug;31(8):352-5

Date

10/25/2007

Pubmed ID

17957738

Pubmed Central ID

PMC6653277

DOI

10.1002/clc.20266

Scopus ID

2-s2.0-50249102070 (requires institutional sign-in at Scopus site)   107 Citations

Abstract

We report a case of coronary slow flow phenomenon (CSFP) in a patient who underwent coronary angiography due to anginal chest pain and recurrent syncope with complete normalization of flow after intracoronary adenosine. He was noted to have multiple episodes of nonsustained ventricular tachycardia on holter monitor and increased QTc dispersion on surface electrocardiogram (EKG). He responded very well to oral dipyridamole therapy with complete resolution of his symptoms and no episodes of ventricular tachycardia on the event recorder at 3 months. We review the diagnosis and clinical features of CSFP and its association with increased QTc dispersion and the role of oral dipyridamole therapy in this condition.

Author List

Saya S, Hennebry TA, Lozano P, Lazzara R, Schechter E

Author

Pedro Lozano MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Administration, Oral
Coronary Circulation
Death, Sudden, Cardiac
Dipyridamole
Electrocardiography
Humans
Male
Middle Aged
Tachycardia, Ventricular