Prinzmetal’s angina refractory to medical treatment
نویسندگان
چکیده
We describe a case of Prinzmetal’s angina that is refractory to medical therapy but responded fully after percutaneous coronary intervention. This case shows that there is a role for percutaneous coronary intervention in refractory variant angina as long as a culprit lesion within the vasospastic segment can be identified.
منابع مشابه
Nonconventional therapeutic modalities in refractory angina pectoris
Abstract Despite sophisticated conventional medical treatment and the continued development and improvement of coronary revascularization modalities in recent years, a significant number of patients still suffer from refractory angina pectoris and cannot be successfully managed. Advances in therapeutic options have led to an increase in the average of life expectancy even in such ...
متن کاملاثرات درمانی فشارنده متناوب تقویت شده خارجی (EECP) در آنژین قلبی مقاوم به درمان در بیماران نامناسب برای اقدامات تهاجمی
Background & Aims: Enhanced external counterpulsation (EECP) is a non-invasive outpatient treatment used for angina pectoris. In patients with intractable angina who were symptomatic after medical and invasive strategies, several novel techniques are considered including EECP. In patients with refractory angina due to coronary anatomy specific information, CABG or PCI are also up despite anti-...
متن کاملObservations on patient with two tachycardia QRS alternans in a types of narrow QRS
1. Yasue H, Nagao M, Omote S, Takizawa A, Miwa K, Tanaka S: Coronary arterial spasm and Prinzmetal’s variant form of angina induced by hyperventilation and Tris-buffer infusion. Circulation 5856, 1978. 2. Girotti LA, Crosatto JR, Messuti H, Kaski JC, Dyszel E, Rivas CA, Araujo LI, Vetulli HD, Rosenbaum MB: The hyperventilation test as a method for developing successful therapy in Prinzmetal’s a...
متن کاملTreatment options for refractory angina pectoris: enhanced external counterpulsation therapy.
Refractory angina pectoris, defined as angina refractory to maximal medical therapy and standard coronary revascularization procedures, remains a significant health problem in the United States and the world. Despite a panoply of recent therapeutic advances, patients with refractory angina pectoris are not adequately treated; therefore, scientists have been investigating new technologies to hel...
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A group of 125 patients with unstable angina were studied over a 5-year period to define the incidence of refractory unstable angina in the current era of 5-drug medical therapy with intravenous heparin, aspirin, nitrates, calcium antagonists and beta blockers. All patients had greater than 20 minutes of chest pain at rest with reversible electrocardiographic changes occurring in the absence of...
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