Rest Angina caused by coronaryspasm: myth or reality?

Authors

  • Wilson Coelho Pereira Filho Universidade Federal de Juiz de Fora
  • Glauco Resende Bonato Universidade Federal de Juiz de Fora
  • Márcio Bastos Silveira Universidade Federal de Juiz de Fora
  • Felipe Possani Santa Casa de Misericórdia de Juiz de Fora
  • Fabiana Oliveira Bastos Universidade Federal de Juiz de Fora
  • Fábio Simplício Maia Universidade Federal de Juiz de Fora

Keywords:

Angina Pectoris Variante, Vasoespasmo Coronário

Abstract

A 58 year-old-man, smoker, previously free of coronary symptoms, was admitted with acute retrosternal pain. The electrocardiogram showed a transient ST-segment elevation in leads V1-V3, which returned to baseline after pain. Serum level of cardiac enzymes was normal. The echocardiogram didn’t exhibit any segmentary abnormality on the left ventricular contractility and the coronary angiography demonstrated a severe occlusion in proximal left anterior descending artery and in diagonal artery. The patient was treated with nitrate, diltiazem and angioplasty with stent and didn’t have any new symptoms. The diagnosis of coronary spasm was made.

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Published

2008-02-07

How to Cite

1.
Pereira Filho WC, Bonato GR, Silveira MB, Possani F, Bastos FO, Maia FS. Rest Angina caused by coronaryspasm: myth or reality?. HU Rev [Internet]. 2008Feb.7 [cited 2024Nov.25];34(1):65-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/31

Issue

Section

Relato de Caso