Successful treatment using corticosteroids in a patient with refractory vasospastic angina and bronchial asthma

We report a 55-year-old female patient with refractory vasospastic angina and bronchial asthma treated successfully with corticosteroids. She was diagnosed with vasospastic angina by coronary angiography and the acetylcholine provocation test. Even after administration of oral vasodilators (benidipine, diltiazem, nicorandil, isosorbide mononitrate) she had recurrent chest pain with ST elevation. She had a history of bronchial asthma, so we added 30 mg/day of oral prednisolone. Her symptoms disappeared completely upon treatment. This case report suggests that corticosteroids are a therapeutic choice for patients with refractory vasospastic angina, especially for those with bronchial asthma. <Learning objective: We report a 55-year-old female patient with refractory vasospastic angina and bronchial asthma. Even after administration of oral vasodilators, she had recurrent chest pain with ST elevation. She had a history of bronchial asthma, so we added 30 mg/day of oral prednisolone. Her symptoms disappeared completely upon treatment. This case report suggests that corticosteroids are a therapeutic choice for patients with refractory vasospastic angina, especially for those with bronchial asthma.>.