Abstract
Prinzmetal angina, also known as vasospastic or variant angina, is defined as an intermittent focal coronary artery spasm often associated with an atherosclerotic lesion near the site of spasm. It is caused by a focal or diffuse spasm of the smooth layer of the arterial wall of an epicardial coronary artery. Acute infarctions or malignant arrhythmias may develop during spasm-induced ischemia. Evaluation includes observation of echocardiogram (EKG) for transient ST elevations during discomfort; diagnosis is confirmed with coronary angiography using provocative testing. We describe two cases of patients who presented for non-cardiac complaints, but had episodes of vasospastic angina during their hospitalization. Both underwent cardiac catheterization with differing results, demonstrating the importance of catheterization in patients who experience vasospastic angina.
Highlights
Vasospastic angina is an intermittent focal coronary artery spasm that is defined as having a transient or sustained reduction in the diameter by more than 50% in an arterial segment with insignificant (
Prinzmetal angina, known as vasospastic or variant angina, is defined as an intermittent focal coronary artery spasm often associated with an atherosclerotic lesion near the site of spasm
We describe two cases of patients who presented for non-cardiac complaints, but had episodes of vasospastic angina during their hospitalization
Summary
Vasospastic angina is an intermittent focal coronary artery spasm that is defined as having a transient or sustained reduction in the diameter by more than 50% in an arterial segment with insignificant (
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