A 25-year-old patient with low cardiac risk factors having a combination of variant angina and severe coronary arterial lesions--a case report.
A 25-year-old man with low cardiac risks underwent coronary arteriography because of chest pain at rest. His only risk factors for coronary artery disease was smoking. Both right and left coronary arteries were ectatic and the left anterior descending artery was obstructed. In the acetylcholine provocation test, the left circumflex coronary artery showed severe constriction. Thus, this patient was diagnosed as having a combination of variant angina and occlusive coronary artery disease.
Hara
Y
Y
The Second Department of Internal Medicine, Ehime University School of Medicine, Osen-gun, Japan. yujihara@m.ehime-u.ac.jp
Komatsu
J
J
Hiasa
G
G
Ohtsuka
T
T
Suzuki
M
M
Shigematsu
Y
Y
Ohkura
T
T
Hamada
M
M
Hiwada
K
K
D000328:Adult; D000788:Angina Pectoris, Variant / Q000175:diagnosis* / Q000209:etiology; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000209:etiology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects