Prinzmetal angina: case rare of double coronary spasm
International Journal of Development Research
Prinzmetal angina: case rare of double coronary spasm
Received 13th February, 2018; Received in revised form 21st March, 2018; Accepted 03rd April, 2018; Published online 31st May, 2018
Copyright © 2018, Sergio Fasullo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Unlike typical angina, which is often triggered by exertion or emotional stress, Prinzmetal’s angina almost always occurs when a person is at rest, usually between midnight and early morning. These attacks can be very painful. Prinzmetal’s angina is rare, representing about two out of 100 cases of angina, and usually occurs in younger patients than those who have other kinds of angina. The coronary arteries can cause a spasm due to stress and smoking, as the case we will describe. 39-year-old young woman smoker, presented to our department for night-time episode and electrocardiographic changes suggestive of acute myocardial infarction. Medicines can help control the spasms. Drugs such as calcium antagonists and nitrates are the mainstays of treatment. In this case the young woman was intolerance to oral nitrate. Prognosis is generally good but the quality of life is less to standard.
