[Multiple coronary spasms in asymptomatic patient (author's transl)].
A 46 year old asymptomatic male showed ST elevations in the inferior leads during an occasional basal electrocardiogram. During an ECG monitoring at rest a high number of transient episodes of ischemic type was noted: all were unrelated to symptoms. During the same session the ST segment changes appeared either in inferior leads or antero-lateral leads in different episodes. The coronary arteriography revealed absence of significant coronary stenosis and multivessel spasms: the episodes of ischemic ECG changes disappeared only during nifedipine therapy. After a 4 year follow up period no symptoms or coronary events occurred.
D000792:Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic
Spasmi coronarici multipli in paziente asintomatico.