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[Myocardial infarction in patient with variant angina]

Andrzej Dubiński1, Roman Grabowski, Arkadiusz Derkacz

  • 1Powiatowe Centrum Zdrowia, Szpital Powiatowy, Kamienna Góra, Wrocław, Poland.

Kardiologia Polska
|October 1, 2004
PubMed

Insights

A 49-year-old male with myocardial infarction due to variant angina was successfully treated. Long-term management with calcium antagonists, nitrates, and statins kept him symptom-free for three years.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Variant angina, also known as Prinzmetal's angina, is a condition characterized by chest pain caused by coronary artery spasm.
  • Myocardial infarction (MI) can occur as a complication of variant angina.

Observation:

  • A 49-year-old male presented with myocardial infarction in the context of variant angina.
  • Coronary angiography revealed left coronary artery spasm, proximal right coronary artery spasm, and myocardial bridging of the left anterior descending artery.

Findings:

  • Successful treatment was achieved using streptokinase, a calcium antagonist, and nitrates.
  • The patient remained stable and symptom-free for three years on a regimen of long-acting calcium antagonists, nitrates, and statins.

Implications:

  • This case highlights the successful management of myocardial infarction secondary to variant angina.
  • A combination of medical therapies, including calcium antagonists, nitrates, and statins, can lead to long-term stability in patients with complex coronary artery conditions.

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