I n 1959, prinzmetal et al 1 described a variant of angina pectoris. Although it caused chest discomfort similar in quality and location to that described by heberden, it differed in the following respects. Prinzmetal s angina with multivessel spasm successfully treated by using two different types of calcium channel blockers. Typical angina, by contrast, is often triggered by physical exertion or emotional stress. English pdf spanish pdf portuguese pdf article in xml format. Also, it is one of the causes of st segment elevation on the elec. This is in contrast to stable angina, in which chest pain occurs in.
Prinzmetals or prinzmetal angina, variant angina and. Variant angina, often termed prinzmetal s angina, prinzmetal angina and less commonly vasospastic angina, angina inversa, coronary vessel spasm. See the appearance of stelevation with angina at peak exercise test, followed by junctional rhythm due to av block after the termination of the exercise, due presumably to coronary spasm of rca proximal to the av nodal branch. Angina variante trastornos cardiovasculares manual msd. From the cattedra di fisiopatologia cardiorespiratoria dell. The underlying mechanism in the development of coronary artery spasm is multifactorial. Prinzmetal s angina is a form of chest pain, pressure, or tightness angina caused by spasms in the arteries that supply blood to the heart. Prinzmetals variant angina genetic and rare diseases.
Vasospastic or prinzmetal s variant angina as it is also known is a special type of ischemic heart disease characterized by spontaneous episodes of chest pain accompanied by transitory st segment. Crisis of coronary spasm prinzmetal angina recorded by holter ecg. Prinzmetal variant of angina pectoris jama jama network. Dit zijn bijvoorbeeld prinzmetal angina pectoris en microvasculaire coronaire disfunctie mcd. Prinzmetals angina with multivessel spasm successfully.
In 1959 prinzmetal et al 1 described 32 cases of angina occurring at rest, reporting that the clinical characteristics of these patients differed to. Pdf this syndrome is due to focal spasm of an epicardial coronary artery. It is a form of unstable angina, meaning that it occurs at rest, often without a predictable pattern. Prinzmetals or prinzmetal angina, variant angina and angina inversa. In four patients with prinzmetals variant form of angina, the attack was induced by the combined administration of epinephrine 0. Pain is not precipitated by cardiac work and is associated with an unusual ecg unstable angina increasingly frequent angina, angina at rest or prolonged episodes of severe angina pericardial pain, e.
Prinzmetal variant of angina pectoris in 1959, prinzmetal et al1 described a variant of angina pectoris. Prinzmetals angina with recurrent and transitory atrioventricular block. Prinzmetals variant angina pva is characterized by recurrent episodes of chest pain that usually occur when a person is at rest, between midnight and early morning. Prinzmetal variant angina is an uncommon disease in colombia, it have high risk of complications if is not diagnosed early and a rapid treatment starter.
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