Vasospastic angina in a 16-year-old female.
A 16-year-old female with a family history of coronary artery disease was referred to hospital because of recurrent chest oppression unrelated to exertion. Although a selective coronary angiogram showed no atherosclerotic lesions, coronary spasm was provoked by acetylcholine in the left coronary artery, accompanied by chest pain and depression of blood pressure. This is the youngest healthy young female to be diagnosed with coronary vasospasm by provocation test. Because there are no risk factors, the vasospasm must be related to unknown hereditary factors.
Kobayashi
Kengo
K
Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan. kobaboo@med.uoeh-u.ac.jp
Kouzuma
Ryouji
R
Tsutsui
Masato
M
Okazaki
Masahiro
M
Tasaki
Hiromi
H
Nakashima
Yasuhide
Y
D000293:Adolescent; D000787:Angina Pectoris / Q000209:etiology*; D006332:Cardiomegaly / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging* / Q000235:genetics; D005260:Female; D006801:Humans; D008297:Male; D010375:Pedigree; D013902:Radiography, Thoracic