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7178259 
Journal Article 
Ventricular fibrillation caused by coronary artery spasm during mild therapeutic hypothermia after resuscitation 
Yamashina, Y; Komatsu, J; Yagi, T; Namekawa, A; Ishida, A; Mibiki, Y; Sato, H; Nakagawa, T; Sakuramoto, M; Sato, E; , 
2013 
Yes 
American Journal of Emergency Medicine
ISSN: 0735-6757
EISSN: 1532-8171 
W B SAUNDERS CO-ELSEVIER INC 
PHILADELPHIA 
22944545 
WOS:000315686100072 
A 47-year-old man experienced ventricular fibrillation in the early morning. A 12-lead electrocardiogram obtained immediately after resuscitation showed no significant ST-T changes. An emergent coronary angiogram also showed no significant lesion in the coronary arteries. However, the patient developed ST elevation that led to ventricular fibrillation during induced mild therapeutic hypothermia. Immediate defibrillation followed by isosorbide dinitrate administration resolved the ST elevation.