'Silent' Prinzmetal's ST elevation related to atenolol overdose.
Prinzmetal's angina is a condition characterized by chest pain, transient ST elevation, and negative biochemical markers of myocardial cell necrosis. We describe a case of chemically-induced "silent" ST segment elevation related to Atenolol overdose in a patient without coronary artery stenosis. We conclude that the cause for the transient myocardial ischemia is coronary vasospasm, precipitated by beta-blocker overdose.
Petrov
Daniel
D
Department of Emergency Cardiology and Acute Internal Diseases, "Pirogov" Emergency Hospital, Sofia, Bulgaria.
Sardowski
Svetlozar
S
Gesheva
Margarita
M
D000319:Adrenergic beta-Antagonists / Q000009:adverse effects*; D000788:Angina Pectoris, Variant / Q000139:chemically induced*; D001262:Atenolol / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000139:chemically induced; D062787:Drug Overdose; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged
D000319:Adrenergic beta-Antagonists; D001262:Atenolol