VASOSPASTIC ANGINA WITHOUT FLOW-LIMITING CORONARY LESIONS AS A CAUSE FOR ABORTED SUDDEN-DEATH

Two patients resuscitated from out-of-hospital cardiac arrest were lat er found to have minor coronary atherosclerosis and no inducible ventr icular arrhythmia. Coronary spasm was not elicited during provocative tests but occurred on introduction of the catheter in the right corona ry artery and spontaneously recurred after resuscitation, leading to m yocardial infarction in one patient. Both patients received an implant able cardioverter defibrillator and subsequent discharges, while recei ving calcium antagonists.