Coronary stent for variant angina: atypical presentation

Area of Science:

• Cardiology
• Interventional Cardiology

Background:

• Pharmacological therapy is the primary treatment for Prinzmetal angina.
• Refractory cases often present challenges in management.

Observation:

• An unconventional approach using coronary artery stenting was employed for variant angina with coronary artery spasm.
• The patient was refractory to triple drug therapy.

Findings:

• Coronary artery stenting yielded favorable clinical and angiographic results.
• The Ergonovine test was negative post-stenting, even with reduced medical therapy.
• Four-month follow-up confirmed no intrastent restenosis and a negative Ergonovine test.

Implications:

• Coronary artery stenting may be a viable option for Prinzmetal angina refractory to medical management.
• Further long-term studies are required to establish stenting as a systematic approach.