Related Experiment Video
Updated: Oct 23, 2025

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
A 31-Year-Old Man With Angina Pectoris Resulting From Large Vessel Vasculitis
Giselle M Statz1, Noah N Williford1,2, Vivian R Sardone3,4
1Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Abstract:
We present the case of an apparently healthy 31-year-old man with malignant progression of coronary artery disease and recurrent angina resulting from suspected large vessel vasculitis. This case highlights the importance of considering vasculitis in patients without atherosclerotic risk factors, using a multidisciplinary team approach, and suppressing inflammation before coronary revascularization to improve outcomes. (Level of Difficulty: Beginner.).
Related Concept Videos
Angina I: Introduction
Angina II: Classification
Angina III: Clinical Manifestations and Assessment
Angina IV: Management
Angina V: Nursing Management
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

