[Prinzmetal's angina initiated by interruption of exercise. 5 cases with normal coronary radiograms].
Five male patients, aged between 31 and 58 years, presented with anginal chest pain with nausea and sweating after the interruption of exercise. Prinzmetal variant angina was observed during the recovery phase of exercise tolerance testing. Coronary arteriography and selective left ventricular angiography were normal in all cases. Ergonovine, used in one case, induced coronary artery spasm. The angina was eased by Nifedipine in three patients and passed off with time in the other two patients. In one case attack occurred with amiodarone therapy and in another with glyceril trinitrate, after normal exercise tolerance tests. Vagotonia, all the more pronounced when sympathetic tonus is increased, and hyperventilation seem to be the causative factors of what probably results from coronary artery spasm. Nifedipine, a calcium-blocking agent would appear to be the treatment of choice.
D000328:Adult; D000638:Amiodarone / Q000627:therapeutic use; D000787:Angina Pectoris / Q000209:etiology*; D000788:Angina Pectoris, Variant / Q000188:drug therapy / Q000209:etiology*; D001285:Atropine / Q000627:therapeutic use; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis*; D005080:Exercise Test / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009543:Nifedipine / Q000627:therapeutic use
D001285:Atropine; D009543:Nifedipine; D000638:Amiodarone
Angor de Prinzmetal déclenché par l'arrêt de l'effort. Cinq cas à coronarographie normale.