Recurrent myocardial infarction secondary to Prinzmetal’s variant angina

Dhillon, Priyanka; Niranjan, S.

doi:10.11622/smedj.2015077

Cited by 5 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vasospastic angina attacks can occur repeatedly at short intervals of several tens of minutes (Murdoch et al, 2015;Alexander et al, 2016). Notably, spontaneous phasic contractions often occur without the addition of vasoactive drugs in coronary arteries collected from patients with coronary artery disease, with and without visible atherosclerotic lesions (Vedernikov, 1986;Cocks et al, 1993).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of BAY 60-2770, a Soluble Guanylate Cyclase Activator, for Coronary Spasm in Animal Models

Tawa,

Nakagawa,

Ohkita

2024

J Pharmacol Exp Ther

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Efficacy of BAY 60-2770, a Soluble Guanylate Cyclase Activator, for Coronary Spasm in Animal Models

Tawa,

Nakagawa,

Ohkita

2024

J Pharmacol Exp Ther

View full text Add to dashboard Cite

“…Prinzmetal angina has been considered separate from an acute coronary syndrome, but it is important to consider the overlap between these two processes as recurrent MI secondary to Prinzmetal angina has been reported and seen clinically on ventriculograms during coronary angiography [ 18 , 19 ]. Iranirad and Sadeghi also describe a case with simultaneous multivessel coronary vasospasm that resulted in multisite MI and ventricular fibrillation [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Girl Who Cried Wolf: A Case of Prinzmetal Angina With Related ST-Elevation Myocardial Infarction

Gaur¹,

Patibandla²,

Sohal³

et al. 2021

Cureus

View full text Add to dashboard Cite

Prinzmetal variant angina is characterized by episodic chest pain associated with transient ST changes seen on an electrocardiogram (EKG). A 51-year-old female with a pertinent history of non-obstructive coronary artery disease (CAD), non-ST elevation myocardial infarction (NSTEMI) twice, ST-elevation myocardial infarction (STEMI), Prinzmetal angina, ventricular tachycardia s/p implantable cardioverter-defibrillator placement, and gastroesophageal reflux disease presented with 2.5 hours of left-sided chest pain with radiation to the left arm. Her initial EKG was not revealing. However, a subsequent EKG showed ST elevations in the inferior leads. A coronary angiogram was performed and revealed distal right coronary artery spasm that was relieved with intracoronary nitroglycerin. The nature of her chest pain in conjunction with her EKG and angiogram findings helped diagnose her with Prinzmetal angina that was significant enough to result in a STEMI. Thus, Prinzmetal angina and STEMI can be interconnected rather than being separate, mutually exclusive pathologies.

show abstract

“…It usually presents as chest pain at rest or at night that lasts longer than the typical chest pain in acute coronary syndrome (ACS). It can sometimes be associated with ACS, arrhythmias, and sudden cardiac death, or the clinical presentation can be variable leading to under diagnosis of the condition [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Coronary vasospasm as an etiology of recurrent ventricular fibrillation in the absence of coronary artery disease: a case report

Bhandari

Kanderi

Yarlagadda

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Background: Vasospastic angina (VA), or Prinzmetal's angina, is characterized by symptoms of coronary angina caused by coronary vasospasm, usually in the absence of atherosclerotic changes. It typically presents with chest pain, which can be accompanied by transient electrocardiographic changes, if visualized during the attack. It can also rarely present with severe manifestations of acute myocardial angina, ventricular fibrillation, or cardiac arrest. Case presentation: We present a case of a 50-year-old Caucasian male who initially presented to the hospital with chest pain and was diagnosed with VA. Later, he was brought to the hospital by emergency medical services later with ventricular fibrillation, despite normal coronary anatomy on angiogram. He was managed with placement of an intra-cardiac defibrillator (ICD) for secondary prevention. The patient continued to have recurrent episodes of ventricular fibrillation with associated ICD shocks, and had multiple admissions to the hospital with similar presentations. Symptoms and arrhythmia improved after optimizing antianginal therapy. Conclusions: Ventricular fibrillation can be an uncommon but severe manifestation during VA crises. In cases with normal coronary vasculature, it is important to recognize VA as a cause of recurrent ventricular fibrillation in order to optimize medical management for prevention of fatal arrhythmias.

show abstract

Recurrent myocardial infarction secondary to Prinzmetal’s variant angina

Cited by 5 publications

References 15 publications

Efficacy of BAY 60-2770, a Soluble Guanylate Cyclase Activator, for Coronary Spasm in Animal Models

Efficacy of BAY 60-2770, a Soluble Guanylate Cyclase Activator, for Coronary Spasm in Animal Models

Girl Who Cried Wolf: A Case of Prinzmetal Angina With Related ST-Elevation Myocardial Infarction

Coronary vasospasm as an etiology of recurrent ventricular fibrillation in the absence of coronary artery disease: a case report

Contact Info

Product

Resources

About