Variant angina with a strong spasmodic trait.
A 55-year-old man came to the hospital because of chest pain, mostly occurring in the early morning at rest. He had to get isosorbide dinitrate intravenously with continuous infusion. Following ergonovine provocation test, total occlusion of mid-left anterior descending artery was identified with marked elevation of ST segment as exercise test showed despite isosorbide dinitrate.
Koh
K K
KK
Son
J W
JW
Shin
E K
EK
D000788:Angina Pectoris, Variant / Q000175:diagnosis / Q000188:drug therapy; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D007262:Infusions, Intravenous; D007548:Isosorbide Dinitrate / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014665:Vasodilator Agents / Q000008:administration & dosage
D014665:Vasodilator Agents; D007548:Isosorbide Dinitrate