Coronary Arterial Spasm in Prinzmetal Angina

Authors:
  • POPhilip B. Oliva
    Philip B. Oliva
  • DPDaniel E. Potts
    Daniel E. Potts
  • RPRichard G. Pluss
    Richard G. Pluss

Abstract
A woman with Prinzmetal angina displayed spontaneous attacks of myocardial ischemia characterized by severe chest pain, hypotension, inferior-wall ST-segment elevation and transient complete heart block. Coronary arteriography during several fully developed spontaneously occurring attacks demonstrated spasm of a right coronary artery that appeared to be anatomically normal. The site, extent and degree of obstruction varied during individual attacks. Immediately after an attack subsided the coronary artery appeared normal.

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