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Variant angina in a 17-year-old male
Jian-Jun Li1, Jian-Ming Chu, Chao-Yang Zhang
1Department of Cardiology, Fu Wai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, People's Republic of China. lijnjn@yahoo.com.cn
Abstract:
Chest pain is a common complaint in adolescents. It is mostly from musculoskeletal origin. Variant angina is a rare cause of chest pain in adolescents. Here we report a 17-year-old male with severe chest pain accompanied by transient ST-segment elevation in leads II, III, avF of the electrocardiogram showing/revealing variant angina associated with acute myocardial ischaemia. Data obtained from laboratory tests, including serial cardiac markers, were normal and subsequent cardiac catheterization revealed a normal coronary anatomy. The patient has been asymptomatic since discharge, and treatment with calcium channel antagonists with nitrate seems to assure a good prognosis.
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