Recurrent and late-onset coronary spasms after cryoballoon ablation procedure in a patient with atrial fibrillation Tomonori Watanabe, MD, Hitoshi Hachiya,

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Presentation transcript:

Recurrent and late-onset coronary spasms after cryoballoon ablation procedure in a patient with atrial fibrillation Tomonori Watanabe, MD, Hitoshi Hachiya, MD, Shinsuke Miyazaki, MD, Hiroaki Nakamura, MD, Hiroshi Taniguchi, MD, Yoshito Iesaka, MD, FHRS HeartRhythm Case Reports Volume 2, Issue 5, Pages 421-424 (September 2016) DOI: 10.1016/j.hrcr.2016.05.008 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 The patient suddenly developed chest pain 2.5 hours after the ablation procedure, and the 12-lead electrocardiogram showed a striking ST elevation in leads II, III, aVF, V5, and V6. An intravenous vasodilator immediately improved his chest pain and ST elevation. HeartRhythm Case Reports 2016 2, 421-424DOI: (10.1016/j.hrcr.2016.05.008) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 After the intravenous vasodilator was stopped 3.5 hours after the procedure, the patient experienced chest pain again, along with ST elevation. After the intravenous vasodilator was restarted, his ST elevation and chest pain improved. HeartRhythm Case Reports 2016 2, 421-424DOI: (10.1016/j.hrcr.2016.05.008) Copyright © 2016 Heart Rhythm Society Terms and Conditions