ArticleHeart and vessels2020
Questionnaire in patients with aborted sudden cardiac death due to coronary spasm in Japan.
Article in Heart and vessels, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Painless Coronary Spastic Angina First Diagnosed Perioperatively: Importance of Spasm Provocation Testing Under Medication to Confirm Optimal Therapy.Internal medicine (Tokyo, Japan) · 2026Article
- Ventricular fibrillation due to coronary vasospasm triggered by hyperventilation in a patient with panic disorder: case report.European heart journal. Case reports · 2025Article
- Recurrent cardiac arrest and complete atrioventricular block due to idiopathic coronary vasospasm: A case report.Heliyon · 2024Article
- Does the intracoronary pressure differ according to two types (diffuse or focal) of coronary spasm?World journal of cardiology · 2023Article
- Usefulness of subcutaneous implantable cardioverter-defibrillator therapy in patients with Brugada syndrome.Heart and vessels · 2021Observational
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54 authors at 20 institutions in 1 country.
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Abstract
objectivesWe investigated the medical or mechanical therapy, and the present knowledge of Japanese cardiologists about aborted sudden cardiac death (ASCD) due to coronary spasm.
methodsA questionnaire was developed regarding the number of cases of ASCD, implantable cardioverter-defibrillator (ICD), and medical therapy in ASCD patients due to coronary spasm. The questionnaire was sent to the Japanese general institutions at random in 204 cardiology hospitals.
resultsThe completed surveys were returned from 34 hospitals, giving a response rate of 16.7%. All SCD during the 5 years was observed in 5726 patients. SCD possibly due to coronary spasm was found in 808 patients (14.0%) and ASCD due to coronary spasm was observed in 169 patients (20.9%). In 169 patients with ASCD due to coronary spasm, one or two coronary vasodilators was administered in two-thirds of patients [113 patients (66.9%)], while more than 3 coronary vasodilators were found in 56 patients (33.1%). ICD was implanted in 117 patients with ASCD due to coronary spasm among these periods including 35 cases with subcutaneous ICD. Majority of cause of ASCD was ventricular fibrillation, whereas pulseless electrical activity was observed in 18 patients and complete atrioventricular block was recognized in 7 patients. Mean coronary vasodilator number in ASCD patients with ICD was significantly lower than that in those without ICD (2.1 ± 0.9 vs. 2.6 ± 1.0, p < 0.001). Although 16 institutions thought that the spasm provocation tests under the medications had some clinical usefulness of suppressing the next fatal arrhythmias, spasm provocation tests under the medication were performed in just 4 institutions.
conclusionsIn the real world, there was no fundamental strategy for patients with ASCD due to coronary spasm. Each institution has each strategy for these patients. Cardiologists should have the same strategy and the same knowledge about ASCD patients due to coronary spasm in the future.
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