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Exercised-induced coronary spasm in near normal coronary arteries.

Franzen D, Benzing T - Int J Vasc Med (2010)

Bottom Line: In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest.We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm.The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.

View Article: PubMed Central - PubMed

Affiliation: Praxis für Herz und Lungenkrankheiten, Berrenratherstr. 296, 50937 Köln, Germany.

ABSTRACT
In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest. We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm. The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.

No MeSH data available.


Related in: MedlinePlus

Left coronary artery (RAO 31, caudal 0,4).
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Related In: Results  -  Collection


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fig2: Left coronary artery (RAO 31, caudal 0,4).

Mentions: As symptoms increased in intensity and frequency, another stress test in January 2009 at our institution revealed exercise induced ST-depression in leads V4–V6 accompanied by typical anginal symptoms (Figure 1). A second cardiac catheterization demonstrated a mild stenosis in the mid portion of the left anterior descending coronary artery (LAD), all other coronary arteries were without visible stenosis (Figures 2 and 3). During the procedure the patient suddenly complained of anginal symptoms accompanied by ST elevation and finally ventricular tachycardia. The LAD was found occluded beginning at the stenotic segment of the mid LAD (Figure 4). All symptoms and the spasm resolved spontaneously (Figure 5).


Exercised-induced coronary spasm in near normal coronary arteries.

Franzen D, Benzing T - Int J Vasc Med (2010)

Left coronary artery (RAO 31, caudal 0,4).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2990100&req=5

fig2: Left coronary artery (RAO 31, caudal 0,4).
Mentions: As symptoms increased in intensity and frequency, another stress test in January 2009 at our institution revealed exercise induced ST-depression in leads V4–V6 accompanied by typical anginal symptoms (Figure 1). A second cardiac catheterization demonstrated a mild stenosis in the mid portion of the left anterior descending coronary artery (LAD), all other coronary arteries were without visible stenosis (Figures 2 and 3). During the procedure the patient suddenly complained of anginal symptoms accompanied by ST elevation and finally ventricular tachycardia. The LAD was found occluded beginning at the stenotic segment of the mid LAD (Figure 4). All symptoms and the spasm resolved spontaneously (Figure 5).

Bottom Line: In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest.We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm.The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.

View Article: PubMed Central - PubMed

Affiliation: Praxis für Herz und Lungenkrankheiten, Berrenratherstr. 296, 50937 Köln, Germany.

ABSTRACT
In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest. We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm. The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.

No MeSH data available.


Related in: MedlinePlus