Variant angina in an adolescent.
We describe a case of variant angina associated with acute myocardial ischemia in an adolescent presenting with severe chest pain and transient ST elevation. Subsequent cardiac catheterization revealed normal coronary anatomy, and the patient has been asymptomatic since discharge on calcium channel blockers. Variant angina is a rare cause of chest pain in adolescents.
Ivy
D
D
Section of Pediatric Cardiology, University of Colorado School of Medicine, Children's Hospital, Denver 80218.
Kaye
J
J
Flitter
D
D
Wiggins
J
J
D000293:Adolescent; D000788:Angina Pectoris, Variant / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D004452:Echocardiography / Q000187:drug effects; D004562:Electrocardiography / Q000187:drug effects; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000188:drug therapy; D009543:Nifedipine / Q000008:administration & dosage; D005996:Nitroglycerin / Q000008:administration & dosage; D012008:Recurrence
D005996:Nitroglycerin; D009543:Nifedipine