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Journal

2007 | 2 | 1 | 108-115

Article title

Transient electrocardiographic recording of acute myocardial ischemia with ST-segment elevation of the diaphragmal location accompanied by a total atrioventricular block as an initial manifestation of Prinzmetal’s angina - A case report

Content

Title variants

Languages of publication

EN

Abstracts

EN
Prinzmetal’s angina, also known as Prinzmetal’s variant or Prinzmetal’s vasospastic angina is characterized by angina attacks caused by spasm of the great epicardial coronary arteries. Coronary artery endothelial dysfunction plays a crucial role in the development of this vasospastic angina. The attacks of vasospastic angina can be prevented with calcium antagonists and nitrates, whereas in refractory variant angina, coronary angioplasty with stenting may help prevent further coronary spasm. In this case report, we present a 52-year-old male patient with a transient electrocardiographic recording of acute myocardial ischemia with ST-segment elevation of the diaphragmal location accompanied by a total atrioventricular block immediately after exercise testing and as a first manifestation of Prinzmetal’s angina. After regression of the symptoms and electrocardiographic changes, significant pathomorphologic changes of coronary arteries were excluded by coronary angiography. Following discharge, the patient was treated with calcium antagonists and did not show symptoms during a 4-year follow-up period.

Publisher

Journal

Year

Volume

2

Issue

1

Pages

108-115

Physical description

Dates

published
1 - 3 - 2007
online
1 - 3 - 2007

Contributors

  • Department of Cardiology, Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
author
  • Department of Cardiology, Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
author
  • Department of Cardiology, Special Hospital for Cardiology And Cardiovascular Surgery “Magdalena”, Krapinske Toplice, Croatia

References

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  • [2] J.J. Li, J.M. Chu and C.Y. Zhang: “Variant angina in a 17-year old male”, Acta Cardiol., Vol. 60, (2005), pp. 69–71. http://dx.doi.org/10.2143/AC.60.1.2005054[Crossref]
  • [3] M.E. Bertrand, M.L. Simoons, K.A. Fox, L.C. Wallentin, C.W. Hamm, E. de McFadden, P.J. Feyter, G. Specchia and W. Ruzyllo: “Management of acute coronary syndromes: acute coronary syndromes without persistent ST segment elevation; recommendations of the Task Force of the European Society of Cardiology”, Eur. Heart. J., Vol. 21, (2001), pp. 1406–1432. http://dx.doi.org/10.1053/euhj.2000.2301[Crossref]
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  • [5] T. von Arnim, H.W. Gerbig and A. Erath: “Arrhythmias in relation to transient ST elevation in Prinzmetal angina: induction by occlusion and reperfusion”, Z. Kardiol., Vol. 74, (1985), pp. 585–589.
  • [6] Y. Miyao, K. Kugiyama, H. Kawano, T. Motoyama, H. Ogawa, M. Yoshimura, T. Sakamoto and H. Yasue: “Diffuse intimal thickening of coronary arteries in patients with coronary spastic angina”, J. Am. Coll. Cardiol., Vol. 36, (2000), pp. 432–437. http://dx.doi.org/10.1016/S0735-1097(00)00729-4[Crossref]
  • [7] S. Takagi, Y. Goto, E. Hirose, M. Terashima, S. Sakuragi, S. Suzuki, Y. Tsutsumi, S. Miyazaki and H. Nonogi: “The preventive treatment of refractory vasospastic angina with corticosteroids: coronary arterial hyperactivity caused by local inflammation”, Circ. J., Vol. 68, (2004), p. 806. http://dx.doi.org/10.1253/circj.68.17[Crossref]
  • [8] M.J. Hung, W.J. Cherng, C.W. Cheng and N.I. Yang: “Effect of antispastic agents (calcium antagonists and/or isosorbide dinitrate) on high-sensitivity C-reactive protein in patients with coronary vasospastic angina pectoris and no hemodynamically significant coronary artery disease”, Am. J. Cardiol., Vol. 95, (2005), pp. 84–87. http://dx.doi.org/10.1016/j.amjcard.2004.08.064[Crossref]
  • [9] H. Teragawa, M. Kato, T. Yamagata, H. Matsuura and G. Kajiyama: “The preventive effect of magnesium on coronary spasm in patients with vasospastic angina”, Chest., Vol. 118, (2000), pp. 1690–1695. http://dx.doi.org/10.1378/chest.118.6.1690[Crossref]
  • [10] T. Motoyama, H. Kawano, K. Kugiyama, O. Hirashima, M. Ohgushi, R. Tsunoda, Y. Moriyama, Y. Miyao, M. Yoshimura, H. Ogawa and H. Yasue: “Vitamin E administration improves impairment of endothelium-dependent vasodilatation in patients with coronary spastic angina”, J. Am. Coll. Cardiol., Vol. 32, (1998), pp. 1672–1679. http://dx.doi.org/10.1016/S0735-1097(98)00447-1[Crossref]
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  • [12] G.A. Rodriguez-Granillo, E.P. McFadden, M. Valgimigli, C.A. van Mieghem, E. Regar, P.J. de Feyter and P.W. Serruys: “Coronary plaque composition of non culprit lesions, assessed by in vivo intracoronary ultrasound radio frequency data analysis, is related to clinical presentation”, Am. Heart J., Vol. 151, (2006), pp. 1020–1024. http://dx.doi.org/10.1016/j.ahj.2005.06.040[Crossref]
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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-007-0003-9
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