Prinzmetal's variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma.
Prinzmetal's angina is a distinct syndrome characterized by episodes of chest pain and transient ST-segment elevation caused by coronary vasospasm. This variant form of angina is sometimes associated with complete atrioventricular block and ventricular arrhythmias. We report here a case of variant angina with documented severe heart rhythm disturbances and syncope in a 66 year-old woman. Due to recurrent episodes of high-degree atrioventricular block, a DDD pacemaker was implanted. No further symptoms of angina or cardiac arrhythmias were detected on optimal therapy.
1st Department of Cardiology and Cardiosurgery, Medical University of Łódź, Poland. anialedakowicz@wp.pl
Anna
A
Ledakowicz-Polak
Paweł
P
Ptaszyński
Łukasz
Ł
Polak
Marzenna
M
Zielińska
D000368:Aged; D000788:Angina Pectoris, Variant / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D054537:Atrioventricular Block / Q000209:etiology / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D017023:Coronary Angiography; D015716:Electrocardiography, Ambulatory; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D012008:Recurrence; D012720:Severity of Illness Index; D013575:Syncope / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use*
D014665:Vasodilator Agents