eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-11-25 9 1 78 82 10.12691/ajmcr-9-1-20 AJMCR20219120 article Krunal H. Patel 1 Andrew V. Doodnauth 1 Julian C. Dunkley 2 Jennifer Abrams 2 Samy I. McFarlane smcfarlane@downstate.edu 2 Department of Internal Medicine, State University of New York, Downstate -Health Science University, Brooklyn, NY, USA - 11203 Department of Internal Medicine, NYC + HHC Jacobi Medical Center, 1400 Pelham Pkwy S, Bronx, NY, U.S.A- 10461 Coronary artery vasospasms have been known to cause episodic angina pectoris, along with ST-T wave changes. In addition, vasospasm if prolonged can cause myocardial ischemia leading to malignant arrhythmias such as ventricular fibrillation and ventricular tachycardia resulting in sudden cardiac death (SCD). Treatment for this disorder can be challenging. Current data is lacking on the management of patients receiving appropriate vasodilator medications who present with Ventricular Fibrillation (VFib) as a consequence of coronary artery vasospasms. We present a case of a 71-year-old man who was hospitalized due to recurrent episodes of coronary vasospasms leading to acute decompensation and VFib with subsequent resuscitation while undergoing cardiac catheterization. We also provide review of the literature and updates on the current guidelines from the American Heart Association on this potentially life-threatening disorder. http://pubs.sciepub.com/ajmcr/9/1/20/ajmcr-9-1-20.pdf coronary vasospasm sudden cardiac death variant angina ventricular fibrillation Prinzmetal angina