Prinzmetal Angina: A Case Report of Recurrent Ventricular Fibrillation

  • Lali Gujejiani Associate Professor, European University, Tbilisi, Georgia
  • Kakhaber Latsuzbaia Invited Lecturer, East European University, Tbilisi, Georgia
  • Jaba Tsivilashvili Invited Lecturer, Caucasus International University, Tbilisi, Georgia
  • Khatuna Jalabadze Associate Professor, Tbilisi State Medical Academy, Tbilisi, Georgia
  • Maia Kharebashvili Assistant Professor, Caucasus International University, Tbilisi, Georgia
  • Nato Jinjolia Georgian-American University (GAU), Tbilisi, Georgia
  • Vakhtang Tetradze Invited Lecturer, Tbilisi State Medical University, Tbilisi, Georgia
  • Iamze Taboridze Professor, David Aghmashenebeli University of Georgia, Tbilisi, Georgia
DOI: https://doi.org/10.19044/esj.2026.v22n12p25
Keywords: Vasospastic angina, variant angina, coronary artery spasm, ventricular fibrillation, ST-segment elevation, coronary stenting, refractory angina

Abstract

Prinzmetal angina, also known as vasospastic or variant angina, is characterized by episodic coronary artery spasm leading to transient myocardial ischemia, typically presenting with chest pain and transient ST-segment elevation on ECG. Although usually benign and reversible, severe cases may result in life-threatening ventricular arrhythmias, including ventricular fibrillation (VF). We report the case of a 66-year-old male with a history of hypertension and prior aortic root replacement who presented with recurrent VF secondary to coronary vasospasm despite optimal medical therapy. Electrocardiography demonstrated transient ST-segment elevation, and coronary angiography revealed moderate atherosclerotic stenosis with superimposed severe coronary vasospasm. Despite aggressive vasodilator therapy, the patient continued to experience recurrent malignant arrhythmias requiring multiple defibrillations. Ultimately, coronary stenting of the affected vessels led to clinical stabilization and cessation of arrhythmic events. This case highlights the diagnostic and therapeutic challenges of refractory vasospastic angina complicated by malignant ventricular arrhythmias and suggests a potential role for percutaneous coronary intervention in selected cases unresponsive to medical therapy.

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References

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Published
2026-04-30
How to Cite
Gujejiani, L., Latsuzbaia, K., Tsivilashvili, J., Jalabadze, K., Kharebashvili, M., Jinjolia, N., Tetradze, V., & Taboridze, I. (2026). Prinzmetal Angina: A Case Report of Recurrent Ventricular Fibrillation. European Scientific Journal, ESJ, 22(12), 25. https://doi.org/10.19044/esj.2026.v22n12p25
Issue
Vol 22 No 12 (2026): ESJ Natural/Life/Medical Sciences
Section
ESJ Natural/Life/Medical Sciences

Copyright (c) 2026 Lali Gujejiani, Kakhaber Latsuzbaia, Jaba Tsivilashvili, Khatuna Jalabadze, Maia Kharebashvili, Nato Jinjolia, Vakhtang Tetradze, Iamze Taboridze

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