title: [Spastic angina].
abstract: The article reports a case of vasospastic angina. The disease is caused by a spasm in a large epicardial coronary artery which may otherwise be normal or show variable degrees of atherosclerosis. The diagnosis must be differentiated from acute myocardial infarction, unstable angina of arteriosclerotic origin and extracardial diseases. ECG may show transient elevation of the ST-segments and coronary arteriography can directly visualize the spasm during a spontaneous attack. Aggressive therapy with calcium antagonists and long-acting nitrates often has an excellent symptomatic effect and may improve the prognosis.
authors.forename: T
authors.initials: T
authors.lastname: Snaprud
authors.forename: J P
authors.initials: JP
authors.lastname: Amlie
mesh_terms: D000368:Aged; D000788:Angina Pectoris, Variant / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D000792:Angiography; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male
vernacular_title: Spasmeangina.