Rest Angina caused by coronaryspasm: myth or reality?
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 exhibi...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2008 |
| País: | Brasil |
| Institución: | Universidade Federal de Juiz de Fora (UFJF) |
| Repositorio: | HU Revista (Online) |
| Idioma: | portugués |
| OAI Identifier: | oai:periodicos.ufjf.br:article/31 |
| Acceso en línea: | https://periodicos.ufjf.br/index.php/hurevista/article/view/31 |
| Access Level: | acceso abierto |
| Palabra clave: | Angina Pectoris Variante Vasoespasmo Coronário |
| Sumario: | 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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