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Prinzmetal
Area of Science:
- Cardiology
- Clinical Medicine
Background:
- Prinzmetal's angina is a condition characterized by chest pain due to transient coronary artery spasm.
- Typical presentation involves ST-segment elevation on electrocardiogram (ECG) during episodes.
Observation:
- A 51-year-old male presented with symptoms consistent with Prinzmetal's angina.
- Electrocardiogram (ECG) showed ST-elevation and ventricular ectopies during chest pain episodes.
- Coronary arteriography identified spasm in a normal left anterior descending artery.
Findings:
- The patient experienced recurrent chest pain attributed to coronary artery spasm.
- A combination therapy of Nifedipine and Isosorbide dinitrate was initiated.
Implications:
- This case highlights the effectiveness of combined Nifedipine and Isosorbide dinitrate in managing Prinzmetal's angina.
- Successful treatment resulted in a 9-month pain-free period for the patient.
- Coronary artery spasm can occur in apparently normal arteries and is treatable.
Abstract:
A 51 year old male, with typical "Prinzmetal-Angina", is presented. The ECG during the attacks exhibits ST-Elevation and concomitant ventricular ectopies. The coronary arteriography reveals a spasm in the normal left anterior descendens artery. The therapeutic combination of Nifedipine and Isosorbiddinitrat is effective and the patient has been free of pain since 9 months.