Variant angina in a 17-year-old male.
Chest pain is a common complaint in adolescents. It is mostly from musculoskeletal origin. Variant angina is a rare cause of chest pain in adolescents. Here we report a 17-year-old male with severe chest pain accompanied by transient ST-segment elevation in leads II, III, avF of the electrocardiogram showing/revealing variant angina associated with acute myocardial ischaemia. Data obtained from laboratory tests, including serial cardiac markers, were normal and subsequent cardiac catheterization revealed a normal coronary anatomy. The patient has been asymptomatic since discharge, and treatment with calcium channel antagonists with nitrate seems to assure a good prognosis.
Li
Jian-Jun
JJ
Department of Cardiology, Fu Wai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, People's Republic of China. lijnjn@yahoo.com.cn
Chu
Jian-Ming
JM
Zhang
Chao-Yang
CY
D000293:Adolescent; D000788:Angina Pectoris, Variant / Q000175:diagnosis* / Q000188:drug therapy*; D006328:Cardiac Catheterization; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D017023:Coronary Angiography; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009543:Nifedipine / Q000008:administration & dosage; D005996:Nitroglycerin / Q000008:administration & dosage; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D005996:Nitroglycerin; D009543:Nifedipine