Espasmo coronario secuencial en angina variante de Prinzmetal con Sequential Coronary Spasm in Prinzmetal’s Angina Presenting as Syncope. Full text -. denominação de A variant form of angina pecto- ris(1, 2). Este tipo de angina de peito é designado por angina variante de Prinzmetal ou mais sim- plesmente. PRINZMETAL’S ANGINA DURING EXTRADURAL ANAESTHESIA FlO. 6. . LA VARIANTE PRINZMETAL DE ANGINA, DURANTE ANESTESIA.

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Unlike cases of atherosclerosis-related stable anginathese symptoms are often unrelated to exertion and occur in night or early morning hours. Archives of Cardiovascular Diseases. Accordingly, individuals with variant angina should be intermittently evaluated for this using long-term ambulatory cardiac monitoring.

Espasmo coronario secuencial en angina variante de Prinzmetal con presentación sincopal

Many early studies utilised this clinical approach but with the advent of imaging the coronary arteries via selective angiography, the focus has moved towards the prinzmstal based upon provocative spasm testing.

The disorder seems to occur more often in women than men, has a particularly high incidence in Japanese males as well as females, and afflicts individuals who may smoke tobacco products but exhibit few other cardiovascular risk factors.

Content is updated monthly with systematic literature reviews and conferences. The circadian nature of this disorder is also well recognised and illustrated by Yasue et al 3 who could provoke ST elevation in variant angina patients in the early morning am but seldom when repeated in these patients in the afternoon pm.


Exercise ECG stress testing is typically negative but during the hot phase, exercise-induced spasm may occur in half of the variant angina patients 4.

Variant angina

Long-term infarct-free survival in Japanese filled shapes and Caucasian open shapes patients with variant angina. Cardiac examination of individuals with variant angina is usually normal in the absence of current symptoms.

Although access to this website is not restricted, the information found here is intended for use by medical providers. Medicines can help control the spasms. Subscribe to Heart Insight magazine and the monthly e-newsletter today!

Variant angina – Wikipedia

From Wikipedia, the free encyclopedia. Int J Cardiol In contrast to patients with angina pectoris secondary to coronary artery atherosclerosis, people with variant angina are generally younger and have fewer risk factors for coronary artery disease except for smokingwhich is a common and very significant risk factor for anguna types of angina. Clinical characteristics associated with myocardial infarction, arrhythmias, and sudden death in patients with vasospastic angina.

Retrieved 2 April prinzmefal Prinzmetal’s angina is a chronic condition that will need to be followed by your healthcare provider even though the prognosis is generally good. A comparative study between western and Japanese populations. Diagnostic Criteria Two approaches have evolved in the diagnosis of variant angina.


Background InWilliam Heberden, a British physician, aptly described the features of classical angina of effort, remarking on its occurrence ee exertion and prompt resolution with rest. This contrasts with classical angina which is due to the permanent occlusion of these vessels by atherosclerosis i. Sensitivity and specificity of intracoronary injection of acetylcholine for the induction of coronary artery spasm.

Am J Cardiol Vascular Medicine London, England.

A significant percentage of patients with variant angina have asymptomatic i. The potassium channel opener, nicorandil, and the rho kinase inhibitor, fasudil, have both been shown ahgina be effective in preventing coronary spasm episodes and are useful therapies for this condition. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

Varkante, coronary stenting is contraindicated in drug- refractory individuals who do not have significant organic occlusion of their coronary arteries. Did you know that your browser is out of date? Back Links pages that link to this page. Accelerated idioventricular rhythm Catecholaminergic polymorphic Torsades de pointes. By using this site, you agree to the Terms of Use and Privacy Policy.

Organic coronary stenosis in Prinzmetal’s variant angina.