Prinzmetal's Angina: Atypical Angiographic Features of Atypical Angina Pectoris

Slack, John D.
August 1981
Angiology;Aug1981, Vol. 32 Issue 8, p567
Academic Journal
Clinicians have puzzled over the coronary physiology associated with atypical angina pectoris for the past century. Recent recognition of coronary artery spasm, which has been so thoroughly documented with coronary angiography, has resolved many of these conceptual difficulties. However, several features of coronary artery spasm, both spontaneous and secondary to provocation with ergonovine maleate, remain poorly understood. This paper addresses the management problems associated with spontaneously occurring spasm in the setting of pre-existent atherosclerotic coronary artery disease, angiographically severe spasm unassociated with symptoms of angina pectoris or signs of myocardial ischemia, and the precipitation of angina pectoris by ergonovine maleate administration unaccompanied by demonstrable epicardial coronary artery spasm. The rationale, indications and therapeutic efficacy of a new class of agents known as slow channel inhibitors or calcium antagonists are discussed.


Related Articles

  • Echocardiographic demonstration of multiple coronary artery -- left ventricular microfistulae. Youn, Ho-Joong; Chung, Wook-Sung; Hong, Soon-Jo // Heart;Dec2001, Vol. 86 Issue 6, p671 

    This article illustrates echocardiographic demonstration of multiple coronary artery, left ventricular microfistulae. A 68 year old woman was referred for evaluation of chest pain. The patient had a six month history of typical angina occurring with moderate exertion. She had a 10 year history...

  • Exercise Tests in Patients With Severe Angina Pectoris: An Angiographic Correlation. Eshchar, Y.; Yahini, J. H.; Atlas, P.; Kishon, Y.; Deutsch, V.; Neufeld, H. N. // Angiology;Jan1980, Vol. 31 Issue 1, p32 

    Graded submaximal ergometric tests were performed on 60 patients who suffered from clinically severe angina pectoris, and the results were correlated with their coronary angiograms. The test was positive in 44, negative in 9, and undetermined in 7 patients (defined as failure to reach the...

  • SINGLE CORONARY ARTERY WITH ISCHEMIA AND SUDDEN CARDIAC ARREST. Kongkiat Chaikriangkrai; Kassi, Mahwash; Polsani, Venkateshwar; Su Min Chang // Methodist DeBakey Cardiovascular Journal;Apr-Jun2014, Vol. 10 Issue 2, p121 

    Single coronary artery (SCA) is a very rare finding. Although most cases of SCA are found incidentally on coronary angiography, it can potentially lead to different clinical repercussions.1, 2 Herein we describe a patient with SCA who had unstable angina with subsequent sudden cardiac arrest,...

  • Acute Coronary Syndromes. Torpy, Janet M. // JAMA: Journal of the American Medical Association;7/2/2008, Vol. 300 Issue 1, p132 

    The article offers a patient page which provides information on acute coronary syndromes (ACS). ACS is a term used to describe a number of conditions including acute myocardial ischemia, unstable angina, and myocardial infarction. Coronary artery disease is the leading cause of death in the U.S....

  • Anomalous origin of all three coronary arteries from right aortic sinus. Kuršaklıoğlu, Hürkan; İyisoy, Atila; Çelik, Turgay; Doğru, M. Tolga; Köse, Sedat // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Feb2008, Vol. 8 Issue 1, pE2 

    The article presents a medical condition of a 60-year-old-man who admitted to the hospital because of typical angina. He is diagnosed through coronary angiogram and showed that his three coronary arteries are infected. The right coronary artery is developed from corresponding aortic sinus, while...

  • Noninvasive Coronary Angiography using 64-Detector-Row Computed Tomography in Patients with a Low to Moderate Pretest Probability of Significant Coronary Artery Disease. Schlosser, T.; Mohrs, O. K.; Magedanz, A.; Nowak, B.; Voigtländer, T.; Barkhausen, J.; Schmermund, A. // Acta Radiologica;Apr2007, Vol. 48 Issue 3, p300 

    Purpose: To evaluate the value of 64-detector-row computed tomography for ruling out high-grade coronary stenoses in patients with a low to moderate pretest probability of significant coronary artery disease. Material and Methods: The study included 61 patients with a suspicion of coronary...

  • Comparison of Clinical and Angiographic Findings between Stable Angina Patients with and without Coronary Tortuosity. Esfahani, Morteza Abdar; Farzamnia, Hamid // Journal of Isfahan Medical School;1/23/2012, Vol. 29 Issue 164, p1 

    Background: Many factors may have an important role in coronary artery disease (CAD). These factors may lead to coronary artery stenosis. Some patients do not have any plaque or stenosis in angiography but have chest pain and angina. This problem is called X syndrome. Although the causes of X...

  • Diagnostic accuracy of non-invasive 64-slice CT coronary angiography in patients with stable angina pectoris. Pugliese, Francesca; Mollet, Nico R. A.; Runza, Giuseppe; van Mieghem, Carlos; Meijboom, Willem B.; Malagutti, Patrizia; Baks, Timo; Krestin, Gabriel P.; deFeyter, Pim J.; Cademartiri, Filippo // European Radiology;Mar2006, Vol. 16 Issue 3, p575 

    Multislice computed tomography (CT) is an emerging technique for the non-invasive detection of coronary stenoses. While the diagnostic accuracy of 4-slice scanners was limited, 16-slice CT imagers showed promising results due to increased temporal and spatial resolution. These technical advances...

  • Incremental diagnostic value of circulating pentraxin in patients with intermediate risk of coronary artery disease. Haybar, Habib; Assareh, Ahmadreza; Ghotbi, Yasaman; Torabizadeh, Mehdi; Bozorgmanesh, Mohammadreza // Heart;May2013, Vol. 99 Issue 9, p640 

    Objectives Pentraxins are a superfamily of multifunctional conserved proteins, some of which are components of the humoral arm of innate immunity and behave as functional ancestors of antibodies. They are divided into short (C reactive protein) and long pentraxins ( pentraxin 3; PTX3). We...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics