Variations in presentation and various options in management of variant angina.
Patients with variant angina represent a diagnostic and therapeutic dilemma. Variant angina is a disease with various causes, variations in treatment guidelines and variable prognosis. In an era of robotic cardiac surgery and automatic cardioverter defibrillators, it is regrettable that we lack enough information on the optimal management of this entity. Lack of randomised trials and a tendency for spontaneous remissions makes interpretation of results difficult. We review the pathophysiology, presentation and recent developments in medical and surgical management of variant angina. Literature is full of conflicting data and it is difficult to make specific recommendations.
Department of Cardiothoracic Surgery, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ER, United Kingdom. mishrapk_25@yahoo.com
Pankaj Kumar
PK
Mishra
D000788:Angina Pectoris, Variant / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011379:Prognosis; D012307:Risk Factors