Document Detail


The spectrum of coronary artery spasm. The variable variant.
MedLine Citation:
PMID:  7241783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Angina from coronary artery spasm is not rare. Because new and effective medical therapy is now available, it is imperative that the physician recognize this syndrome when it occurs. Coronary artery spasm can present clinically as unstable rest angina with reversible ST-segment elevation and bradyarrhythmias and tachyarrhythmias. In this setting, Prinzmetal's variant angina is generally promptly recognized and appropriately treated. The diagnosis is variant angina, however, often is not so obvious. Chest pain may be exertional or seem noncardiac in origin. The chest pain syndrome may be chronic and stable as well as unstable. The ECG may show ST-segment depression, rather than elevation. Five cases of coronary artery spasm that emphasize the variable features of variant angina and offer aid for the prompt diagnosis and treatment of the syndrome are presented here.
Authors:
H D Kirshenbaum; I S Ockene; J S Alpert
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  246     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:    1981 Jul 24-31
Date Detail:
Created Date:  1981-08-27     Completed Date:  1981-08-27     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  354-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris* / diagnosis,  radiography
Angina Pectoris, Variant* / physiopathology,  radiography
Coronary Angiography
Diagnosis, Differential
Electrocardiography
Female
Heart / physiopathology
Humans
Male
Middle Aged
Pain / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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