Stephane Manzo-Silberman,Alix de  Gonneville,Martin  Nicol,Sylvie  Meireles,Thiziri  Simoussi,Elise  Paven,Anne-Claire  Desbois,David  Saadoun,Guillaume  Lebreton,
Sudden Cardiac Arrest as the First Manifestation of Takayasu Arteritis
Journal of Integrative Cardiology Open Access
2020
2674-2489
http://dx.doi.org/10.31487/j.JICOA.2020.06.02
https://www.sciencerepository.org/sudden-cardiac-arrest-as-the-first-manifestation-of-takayasu-arteritis_JICOA-2020-6-102 
Abstract: 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.
Keywords: Coronary artery disease, coronary artery imaging, inflammation, systemic, resuscitation, women heart disease