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Prinzmetal's variant angina

S Mayer1, L D Hillis

  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235-9047, USA.

Clinical Cardiology
|May 1, 1998
PubMed
Summary
This summary is machine-generated.

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Variant angina pectoris, though less common, presents with chest discomfort and ST-segment elevation. Treatment with calcium-channel blockers typically leads to symptom relief and excellent long-term survival.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Variant angina pectoris (VAP) is a less common form of angina compared to typical exertional or unstable angina.
  • Patients with VAP typically experience retrosternal chest discomfort.

Purpose of the Study:

  • To describe the clinical presentation, diagnosis, management, and prognosis of variant angina pectoris.

Main Methods:

  • Diagnosis is confirmed by transient ST-segment elevation during chest pain, resolving spontaneously or with nitroglycerin.
  • Treatment commonly involves calcium-channel blockers, potentially with long-acting nitrates.

Main Results:

  • Patients often become symptom-free with appropriate medical management.
  • Long-term survival for patients with VAP is generally excellent.

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Conclusions:

  • Variant angina pectoris is a distinct clinical entity with a favorable prognosis when managed effectively.
  • While rare, potential complications include myocardial infarction, arrhythmias, and sudden cardiac death.