Clinical and angiographic findings in a patient with vasospasm in an anomalous coronary artery.
We report the case of a 58-year-old man with coronary vasospasm that occurred within an anomalous coronary artery. The rapidly progressive clinical course and the dramatic treadmill test result preceeded the diagnostic cardiac catheterization. Combination therapy with isosorbide, beta blocker, and nifedipine resulted in complete resolution of symptoms.
D006328:Cardiac Catheterization; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging* / Q000188:drug therapy; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D004874:Ergonovine; D005080:Exercise Test; D006801:Humans; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009543:Nifedipine / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use; D011859:Radiography
D011433:Propranolol; D009543:Nifedipine; D007548:Isosorbide Dinitrate; D004874:Ergonovine