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Two cases with coronary spastic angina who were able to completely return to their former social lives despite the fact that they were in a state of cardiopulmonary arrest on arrival at our hospital Atsuki Fukae 1 , Satoshi Ikeda 2 , Toshihiko Yamasa 1 , Akiyo Ninomiya 1 , Hiroyuki Oka 2 , Shiro Hata 1 , Yoshiyuki Miyahara 2 , Shigeru Kohno 2 1Department of Internal Medicine, Sasebo City General Hospital 2Second Department of Internal Medicine, Nagasaki University School of Medicine Keyword: 冠攣縮性狭心症 , CPAOA , vasospastic angina pp.529-533
Published Date 2002/5/15
DOI https://doi.org/10.11477/mf.1404902476
  • Abstract
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We encountered 2 patients with vasospastic angina who were able to completely return to their former social lives despite the fact that they were in a state of cardiopulmonary arrest on arrival at our hospital (CPAOA) . The condition of both patients was compli-cated by lethal ventricular arrhythmia immediately after their awareness of chest pain, resulting in loss of consciousness. Although they were in the state of CPA when the rescue personnel arrived, cardiopulmonary resuscitation (CPR) was performed while they were being transferred to our hospital. These patients were successfully resuscitated by artificial respiration and direct current cardioversion without sequelae, resulting in their recovery of clear consciousness within a few days. Because severe coronary spasm was induced by acetylcholine provocation coronary angiography during the stable phase, these patients were diagnosed as hav-ing vasospastic angina.

In general, the prognosis of CPAOA patients has been reported to be poor. However, it should be noted that some patients with CPAOA can be saved and return to their former social lives. Needless to say, immediate and appropriate CPR by the rescue personnel is required. Therefore, it is necessary to educate the general population about the importance of CPR


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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