Management of cardiac arrest caused by coronary artery spasm: epinephrine/adrenaline versus nitrates.

Background: Cardiopulmonary resuscitation guidelines imply the use of epinephrine/adrenaline during cardiopulmonary arrest. However, in cardiac arrest situations resulting from coronary artery spasm (CAS), the use of epinephrine/adrenaline could be deleterious.

Methods And Results: A 49-year-old patient underwent an emergency coronarography with an attempt to stent the coronary arteries.