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Heart 1998;80:197-199; doi:10.1136/hrt.80.2.197
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;80:197-199 ( August )

Case report

Coronary spasm in acute myocardial infarction G Y H Lip,a K K Ray,b M F Shiub

a University Department Of Medicine, City Hospital, Birmingham B18 7QH, UK, b Department of Cardiology, Walsgrave Hospital, Coventry CV2 2DX, UK

Correspondence to: Dr Lip. email: greg{at}chtmedicine.demon.co.uk

Accepted for publication 12 January 1998

A 30 year old man had an acute anterolateral myocardial infarction following which he developed unstable angina requiring percutaneous transluminal coronary angioplasty. He subsequently developed further angina with recurrence of coronary artery lesions that were reversed by intracoronary nitrate. A diagnosis of prinzmetal (vasospastic) angina was made and this had been the apparent cause of his myocardial infarction. He was treated with a calcium antagonist and an oral long acting nitrate with resolution of symptoms. He remained well and symptom free, and was reviewed in the outpatient clinic six weeks after discharge without problems.

Keywords: coronary spasm;  acute myocardial infarction;  syndrome X;  prinzmetal's angina


© 1998 by Heart

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