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Severe angina pectoris in asthma attack: a case report
Seyed Hesamedin Nabavizadeh1, Nazanin Farahbakhsh2, Ali Fazel3
1M.D., Professor, Department of Immunology and Allergy, Faculty of Medicine, Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Electronic Physician
|August 10, 2016
Summary
A rare case of a 12-year-old boy experiencing both asthma exacerbation and angina pectoris is detailed. Prompt treatment resolved both conditions, highlighting the importance of careful medication management in pediatric patients with comorbid respiratory and cardiac issues.
Area of Science:
- Pediatric Cardiology
- Pulmonology
- Critical Care Medicine
Background:
- Asthma is a chronic airway inflammatory disease causing reversible airflow obstruction and recurrent symptoms.
- Angina pectoris is characterized by chest discomfort due to myocardial ischemia.
- Co-occurrence of asthma and angina is infrequently reported in medical literature.
Observation:
- A 12-year-old boy presented with severe asthma exacerbation and subsequently developed angina pectoris during hospitalization.
- The patient experienced labored breathing, diffuse wheezing, and severe chest pain.
- Chest pain was attributed to shunt formation and coronary hypoxia secondary to Ventolin administration without supplemental oxygen.
Findings:
- The patient's asthma and angina symptoms resolved with appropriate medical intervention.
- No recurrence of angina pectoris has been observed since the initial event.
- This case underscores a potential complication of asthma treatment in patients with underlying cardiac risk factors.
Implications:
- Highlights the critical need for vigilant monitoring of cardiac status in pediatric asthma patients, especially during exacerbations.
- Emphasizes the importance of careful medication administration and oxygenation management during asthma treatment to prevent iatrogenic complications like coronary hypoxia.
- Suggests that underlying cardiac conditions or predispositions may be unmasked by severe respiratory distress or its treatment.
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