Document Detail

Combination of variant and microvascular angina.
MedLine Citation:
PMID:  19610123     Owner:  NLM     Status:  MEDLINE    
Prinzmetal's variant angina (VA) and cardiac syndrome X (CSX) are two distinct, usually easily recognizable, forms of angina syndromes, caused by epicardial spasm, usually responsible for transient transmural myocardial ischemia at rest and by coronary microvascular dysfunction (CMVD), usually responsible for effort induced subendocardial ischemia, respectively. In this article we report clinical evidence in three patients of the simultaneous occurrence of angina episodes typical of both VA and CSX, suggesting that common pathogenetic factors may be responsible for clinical manifestations both of functional macrovascular and microvascular coronary artery abnormalities in some angina patients.
Fabio Infusino; Gaetano A Lanza; Alfonso Sestito; Gregory A Sgueglia; Filippo Crea; Attilio Maseri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  32     ISSN:  1932-8737     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E40-5     Citation Subset:  IM    
Istituto di Cardiologia, Università Cattolica del Sacro Cuore, Roma, Italy.
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MeSH Terms
Angina Pectoris, Variant / diagnosis,  drug therapy,  etiology*,  physiopathology
Coronary Angiography
Coronary Vasospasm / complications*,  diagnosis,  drug therapy,  physiopathology
Exercise Test
Microvascular Angina / diagnosis,  drug therapy,  etiology*,  physiopathology
Middle Aged
Vasodilator Agents / therapeutic use
Reg. No./Substance:
0/Vasodilator Agents

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