[Up-date of the diagnosis and treatment of vasospastic angina].
Vasospastic or Prinzmetal's variant angina as it is also known is a special type of ischemic heart disease characterized by spontaneous episodes of chest pain accompanied by transitory ST segment elevations during the episodes. These alterations are essential for its diagnosis and it is difficult to diagnose it in their absence. If clinical suspicion is high, it should be confirmed by coronary vasospasm provocation tests, since, on the contrary, there may be cases that are not diagnosed or considered to be other types of diseases. Furthermore, progression of this type of angina to a myocardial infarction due to coronary stenosis is a relatively uncommon event.
Aomar Millán
I F
IF
Servicio de Medicina Interna, Hospital Clínico San Cecilio, Granada, España. iaomarmillan@hotmail.com
Candel Erenas
J M
JM
Ramírez Hernández
J A
JA
Candel Delgado
J M
JM
D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use*; D000788:Angina Pectoris, Variant / Q000175:diagnosis* / Q000188:drug therapy* / Q000503:physiopathology; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D004562:Electrocardiography; D006801:Humans; D008019:Life Style; D012307:Risk Factors
D000317:Adrenergic alpha-Antagonists; D002121:Calcium Channel Blockers