The Great Masquerade: Not All Coronary Artery Stenosis Are Created Equal.
Methodist Debakey Cardiovasc J
; 20(1): 26-32, 2024.
Article
em En
| MEDLINE
| ID: mdl-38799179
ABSTRACT
We present the case of a 60-year-old male, with active smoking and cocaine use disorder, who reported progressive chest pain. Various anatomical and functional cardiac imaging, performed to further evaluate chest pain etiology, revealed changing severity and distribution of left main artery (LMA) stenosis, raising suspicion for vasospasm. Intracoronary nitroglycerin relieved the vasospasm, with resolution of the LMA pseudostenosis. A diagnosis of vasospastic angina (VA) led to starting appropriate medical therapy with lifestyle modification counselling. This case highlights VA, a frequently underdiagnosed etiology of angina pectoris. We discuss when to suspect VA, its appropriate work-up, and management.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vasodilatadores
/
Angiografia Coronária
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Nitroglicerina
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Vasoespasmo Coronário
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Estenose Coronária
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Methodist Debakey Cardiovasc J
Ano de publicação:
2024
Tipo de documento:
Article