[Prinzmetal angina pectoris causing diagnostic and therapeutic problems].

Area of Science:

• Cardiology
• Gastroenterology

Background:

• A 53-year-old patient presented with retrosternal oppression unrelated to exertion, occurring in early morning hours.
• Initial investigations revealed esophageal diverticulum and hiatal hernia, treated surgically without symptom resolution.

Observation:

• Persistent retrosternal pain prompted cardiology consultation, suggesting Prinzmetal variant angina.
• Coronary arteriography identified significant coronary artery disease.

Findings:

• Coronary artery disease was the underlying cause of the patient's symptoms, mimicking esophageal disorders.
• Successful coronary artery bypass surgery resolved all patient complaints.

Implications:

• This case highlights the importance of a thorough patient history in diagnosing complex conditions.
• It underscores the need to consider cardiac etiologies, such as Prinzmetal variant angina, in patients with atypical chest pain.