Abstract
Vasospastic angina (angina inversa, variant angina or Prinzmetal angina) is a rare variant of the course of coronary artery disease. Despite a good understanding of its underlying mechanisms (prolonged coronary spasm resulting from endothelial dysfunction) and contributing factors (smoking, exposure to cold weather, cocaine, autoimmune diseases, etc.), the treatment of each individual patient remains a source of discussion. To date, these patients are commonly treated with drugs, especially calcium antagonists and nitrates. The article presents clinical cases of patients with vasospastic angina and discusses their treatment depending on the individual clinical pattern. Early diagnosis of vasospastic angina allows preventing in some cases fatal complications and save patients’ life.
Highlights
Vasospastic angina is a rare variant of the course of coronary artery disease
There are few articles focusing on vasospastic angina in the national medical literature
The article summarizes the guidelines for the management of this group of patients depending on their clinical profile
Summary
Государственное бюджетное учреждение здравоохранения «Научно-исследовательский институт – Краевая клиническая больница No1 имени профессора С.В. Очаповского» министерства здравоохранения Краснодарского края, ул. 1 Мая, 167, Краснодар, Российская Федерация, 350000
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