@article{oai:niigata-u.repo.nii.ac.jp:00006380, author = {Maruyama, Michiyuki and Watanabe, Shuji and Tsukahara, Reiko and Muramatsu, Toshiya and Kamijima, Gonbei}, issue = {2}, journal = {Acta medica et biologica, Acta medica et biologica}, month = {Jun}, note = {The possible mechanisms leading to acute cardiopulmonary arrest (CPA) soon after a subarachnoid hemorrhage (SAH) are still controversial. Cardiac arrest, which has been thought to be mainly related with arrhythmia triggered by the onset of SAH, is less common than respiratory arrest without circulatory collapse but is not a negligible cause of sudden death after SAH. A 69-year-old man with angina pectoris suffered cardiac arrest immediately after the loss of consciousness during coronary angiography. His angiogram revealed a vasospasm of the left coronary arteries which had induced the cardiac arrest. The cause of loss of consciousness was diagnosed as a SAH by brain computed tomography (CT). It is strongly suggested that the onset of the SAH triggered the coronary vasospasm which in turn induced cardiac arrest. Our case clarified that sudden death soon after SAH may be partly caused by cardiac arrest induced by coronary vasospasm. This case report may resolve some aspects of the controversy over the cause of primary cardiac arrest following SAH.}, pages = {73--76}, title = {Immediate Coronary Vasospasm upon the Onset of Subarachnoid Hemorrhage during Cardiac Catheterization}, volume = {46}, year = {1998} }