TY - JOUR
AR - JICOA-2020-6-102
TI - Sudden Cardiac Arrest as the First Manifestation of Takayasu Arteritis
AU - Stephane, Manzo-Silberman
AU - Alix de , Gonneville
AU - Martin , Nicol
AU - Sylvie , Meireles
AU - Thiziri , Simoussi
AU - Elise , Paven
AU - Anne-Claire , Desbois
AU - David , Saadoun
AU - Guillaume , Lebreton
JO - Journal of Integrative Cardiology Open Access
PY - 2020
DA - Thu 10, Dec 2020
SN - 2674-2489
DO - http://dx.doi.org/10.31487/j.JICOA.2020.06.02
UR - https://www.sciencerepository.org/sudden-cardiac-arrest-as-the-first-manifestation-of-takayasu-arteritis_JICOA-2020-6-102 
KW - Coronary artery disease, coronary artery imaging, inflammation, systemic, resuscitation, women heart disease
AB - Management of out-of-hospital cardiac arrest (OHCA) remains challenging, particularly in young patients.
Takayasu arteritis is a rare large-vessel vasculitis relatively. Coronary involvement has been previously
described; we provided the first intracoronary images by OCT. We report the first case of OHCA with
shockable rhythm revealing chronic total occlusion of the left main in a 41-year-old lady. The coronary
anomaly made it possible to diagnose the vasculitis and to treat it by corticosteroid and immunosuppressive
treatment. Vasculitis should be evoked in atypical coronary syndrome in young patients. A collaborative
multidisciplinary approach permits optimal care for this complex patient.