[A rare course of spastic angina with normal coronary arteries].
The authors report the case of a 65-year-old woman smoker monitored for spastic angina. A first coronary arteriogram in 1986 failed to reveal any significant coronary lesion and was complicated by reversible occlusive spasm of the anterior interventricular artery. A second coronary arteriogram 6 years later because of recurrence of angina revealed the development of 70% stenosis of the coronary segment affected by the spasm. Such an outcome is rarely reported in the literature and raise the question of a possible link between spasm and the progression of atheroma.
Tabone
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Clinique cardiologique, Hôpital Necker, Paris.
Helft
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G
Vacheron
A
A
D000368:Aged; D003324:Coronary Artery Disease / Q000209:etiology*; D003329:Coronary Vasospasm / Q000150:complications*; D005260:Female; D006801:Humans; D017566:Microvascular Angina / Q000503:physiopathology*; D013997:Time Factors
Une modalité évolutive rare de l'angor spastique à coronaires normales.