Variant Angina in Chronic Kidney Disease: A Case Report of an Unusual Presentation of Cardiac Arrest Following Dialysis

Introduction: Variant angina is an uncommon syndrome which is mostly benign, but carries a risk of serious complications. Coronary vasospasm has been described in kidney diseases; however, its manifestations have not been elucidated. Also, haemodynamic changes occur during haemodialysis, but its acute effect on coronary circulation is not well understood. We report a rare case of variant angina (VA) in a patient with chronic kidney disease (CKD), presented with myocardial infarction (MI) and cardiac arrest secondary to ventricular fibrillation (VF). Patient Information: A premenopausal female with CKD presented with acute coronary syndrome following haemodialysis.She complained of recurrent angina following haemodialysis sessions since few months which resolved with nitroglycerine.ECG revealed lateral wall myocardial infarction. Few minutes after admission, patient developed VF leading to cardiac arrest and was successfully resuscitated and shifted to the cardiac catheterization lab for emergency percutaneous coronary interventions (PCI).