Published on:
    Journal of Cardiovascular Disease Research, 2012; 3(2):165-166
    CLINICAL CASE REPORT BASED STUDY | doi:10.4103/0975-3583.95376

    Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm

    Authors:

    Bharat Jagiasi, Prashant Nasa1, Debabrata Dash2

    Department of Critical Care Medicine, Fortis Raheja Hospital, Mumbai,

    1Department of Critical Care Medicine, Max Super Speciality Hospital, Saket, New Delhi,

    2Department of Cardiology, Fortis Raheja Hospital, Mumbai, India.

    Abstract:

    Coronary vasospasm is characterized by chest pain at rest with ST-T changes on electro cardiogram and coronary angiography showing virtually normal coronaries. The definitive diagnosis requires the stimulation of coronary vasospasm using provocative agents, which can be life threatening. We present a case where localized stenosis of proximal left anterior descending artery was observed on the coronary angiography, which disappeared on subsequent views, and hence, coronary stenting was deferred and patient responded well to medical management alone.

    Key words:Coronary vasospasm, prinzmetal angina, variant angina.