RT Journal Article
SR Electronic
T1 Life threatening coronary artery spasm in childhood Kimura's disease
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP e5
OP e5
DO 10.1136/heart.84.2.e5
VO 84
IS 2
A1 H Horigome
A1 T Sekijima
A1 S Ohtsuka
A1 M Shibasaki
YR 2000
UL http://heart.bmj.com/content/84/2/e5.abstract
AB A 13 year old boy is described with hypereosinophilia associated with Kimura's disease, who showed repeated life threatening syncopal attacks during daily activities or at rest. Coronary arteriography demonstrated small aneurysms with irregular vessel walls of both coronary arteries, and the absence of organic stenotic lesions. Infusion of a minimal dose of ergonovine into the right coronary artery induced severe spasm of the vessel. Ventricular fibrillation recurred even after administration of nifedipine and isosorbide was started, but was completely inhibited by prednisolone.