Long lasting spasticity in controlled vasospastic angina.

Guidelines for diagnosis and treatment of patients with vasospastic angina (coronary spastic angina) (JCS 2008): digest version.

Exuberant Vasospastic Angina Simulating Severe Three-Vessel Disease

DOI: 10.5935/abc.20170071 A 56-year-old Caucasian male, came to our hospital complaining of thoracic oppression at exertion and sometimes occurring at rest, lasting for a few minutes. The patient was an active smoker, with a moderate alcohol consumption habit and had had an episode of unstable angina two months earlier. At that episode, two drug-eluting stents were implanted, one in the distal ...

Relation of basal coronary tone and vasospastic activity in patients with variant angina.

OBJECTIVE To examine the vasoconstrictor response to ergonovine and the vasodilator response to isosorbide dinitrate in spastic and non-spastic coronary segments from 31 patients undergoing serial angiographic follow up of variant angina. METHODS Coronary angiograms and ergonovine provocation tests were repeated at an interval of 45 (SD 15) months apart. While all 31 patients showed a positiv...

Fluctuation of spastic location in patients with vasospastic angina: a quantitative angiographic study.

OBJECTIVES This study sought to determine whether the location of coronary spastic activity may change over time in patients with persistent variant angina. BACKGROUND Although electrocardiographic studies have provided indirect evidence to indicate that the location of ischemia may change in patients with variant angina, it has not been tested by quantitative angiography whether the location...

VASOSPASM Clinical characteristics associated with myocardial infarction , arrhythmias , and sudden death in patients with vasospastic angina

A total of 349 patients with vasospastic angina were followed in eight centers in Japan for a period of 3.4 + 0.1 years (mean ± SE). Ninety-eight percent of patients were treated with calcium blockers. Twenty-one episodes of myocardial infarction occurred in 18 patients (5%), including two fatal myocardial infarctions. The rate of myocardial infarction was higher (p < .01) in patients with a fi...