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
| Autor: | Krunoslav Fučkar, Nenad Lakušić, Hrvoje Stipic |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
exercise business.industry medicine.medical_treatment Vasospasm General Medicine coronary disease medicine.disease Angina Coronary arteries medicine.anatomical_structure Internal medicine Angioplasty Cardiology medicine Medicine ST segment cardiovascular diseases prinzmetal’s angina Prinzmetal's angina business Atrioventricular block vasospasm Artery |
| Zdroj: | Open Medicine, Vol 2, Iss 1, Pp 108-115 (2007) |
| ISSN: | 2391-5463 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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