The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;76(1):76-80.
이형 협심증 환자에서 5일간 지속된 완전 방실차단 1예
김정훈, 박용휘, 천우정, 오주현
A case of complete atrioventricular block persisting for 5 days in a patient with variant angina
Jung Hun Kim, Yongwhi Park, Woo Jung Chun, Ju Hyun Oh


Abstract
Variant angina is more common in Asian people, including Koreans. Variant angina has a broad spectrum of clinical manifestations, from intermittent non-exertional pain to syncope and sudden cardiac death. Complete atrioventricular block is a major cause of syncope in patients with variant angina. The complete atrioventricular block related to variant angina is usually transient and easily terminated immediately after the restoration of coronary blood flow. We experienced a case of variant angina combined with prolonged complete atrioventricular block. The complete atrioventricular block persisted after the restoration of coronary blood flow, but normal sinus rhythm was restored spontaneously 5 days later. Here, we report this rare case. (Korean J Med 76:S76-S80, 2009)

Keywords :Variant angina, Complete atrioventricular block
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