Prinzmetal's angina associated with alcohol withdrawal.
A 39-year-old woman developed critical anginal attacks 2-7 days after abruptly stopping long-lasting excessive alcohol drinking. The coronary angiogram demonstrated spasms in the left anterior descending and the right coronary artery without signs of preexistent stenosis. In previous reports alcohol-related coronary spasm always followed ingestion of alcohol several hours before. Because of the time delay in this case, we suggest that not the intake but the withdrawal of alcohol was the factor provoking coronary spasm in our patient.
Department of Cardiology, St. Radboud Hospital, Catholic University Nijmegen, The Netherlands.
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NH
Pijls
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van der Werf
D000328:Adult; D000788:Angina Pectoris, Variant / Q000139:chemically induced* / Q000175:diagnosis; D000792:Angiography; D017023:Coronary Angiography; D004562:Electrocardiography; D000431:Ethanol / Q000009:adverse effects*; D005260:Female; D006801:Humans; D013375:Substance Withdrawal Syndrome; D013997:Time Factors
D000431:Ethanol