Variant angina pectoris. Pain and arrhythmias controlled after postoperative myocardial infarction.
A 30-year-old man with variant angina pectoris and ventricular arrhythmias had an angiographically demonstrable 60% obstructive lesion of the proximal left anterior descending coronary artery that was observed to progress to 100% during spasm. Control of pain and arrhythmia by pharmacologic means was unsuccessful. Aortocoronary saphenous vein-internal mammary coronary bypass was associated with an anteroseptal wall myocardial infarction and relief from both angina pectoris and arrhythmias. It is suggested that infarction of the ischemic myocardium played a role in the successful management of this case.
D000328:Adult; D000787:Angina Pectoris / Q000601:surgery*; D001145:Arrhythmias, Cardiac / Q000150:complications*; D003327:Coronary Disease / Q000150:complications; D004562:Electrocardiography; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D009204:Myocardial Revascularization; D010146:Pain / Q000150:complications; D013577:Syndrome