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Recurrent myocardial infarction and angina in a woman with normal coronary angiograms
The American Journal of Cardiology
|June 1, 1975
Insights
Recurrent myocardial infarction and angina pectoris occurred in a patient with normal coronary arteries. Coronary arterial spasm is implicated as the likely cause of these cardiac events.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Myocardial infarction and angina pectoris are serious cardiovascular conditions.
- Coronary artery disease is the typical cause of these symptoms.
Observation:
- A case study details a woman experiencing recurrent myocardial infarction and angina pectoris.
- Coronary angiogram revealed normal coronary arteries, ruling out obstructive coronary artery disease.
Findings:
- Recurrent infarction affected areas supplied by the left anterior descending coronary artery.
- The anginal syndrome was associated with these recurrent events.
- Coronary arterial spasm is identified as the probable etiology.
Implications:
- Coronary arterial spasm should be considered in patients presenting with myocardial infarction and angina despite normal coronary angiograms.
- This case highlights the importance of diagnosing and managing coronary vasospasm to prevent recurrent cardiac events.
Abstract:
A case is reported of recurrent myocardial infarction and angina pectoris in a woman with normal coronary arteries documented by coronary angiogram. The recurrence of infarction in contiguous areas of the heart supplied by the left anterior descending coronary artery and the association of the anginal syndrome implicate coronary arterial spasm as the probable cause.