Acute and Critical Care

Letter to the Editor

Rapid response system
Current status of the rapid response system and early warning score: a survey-based analysis: Sang-Hyeon Park, Jeehoon Kang, Tae Jung Kim, Hong Yeul Lee, Hyun-Jai Cho, Sang-Min Lee; Acute Crit Care. 2022;37(4):687-689. Published online November 21, 2022; DOI: https://doi.org/10.4266/acc.2022.01144

Case Report

Successful Recovery after Cardiac Arrest from Medically Intractable Coronary Spasm Induced by Ergonovine, Using Percutaneous Cardiopulmonary Support: A Case Report: Jeehoon Kang, In Chang Hwang, Chang Hwan Yoon; Korean J Crit Care Med. 2012;27(4):269-273.; DOI: https://doi.org/10.4266/kjccm.2012.27.4.269

Abstract PDF: The ergonovine provocation test is often used in diagnosing variant angina. Most patients with an ergonovine-induced coronary artery spasm respond promptly to intracoronary nitroglycerin administration within 3 to 5 minutes. However, in a few patients ergonovine results in serious cardiovascular complications due to intractable coronary artery spasm. We report a case of a severe and medically intractable coronary spasm induced by ergonovine, followed by cardiac arrest. Aided by percutaneous cardiopulmonary support (PCPS) and mechanical ventilation, the patient could survive after four days of hospitalization despite a recurrent vasospasm. Recovery was largely attributed to full supportive care and the use of PCPS.

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