Heart 1998;80:197-199 ( August )
Case report
Coronary spasm in acute myocardial infarction
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.
© 1998 by Heart
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