Microvascular Angina Accompanied by Epicardial Coronary Artery Spasm

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Author(s)

Abstract

A case of microvascular angina accompanied by coronary artery spasm is described. A 54-year-old woman had anginal pain at rest and during exercise. Both exercise testing and rapid atrial pacing caused significant ST depression in the inferior and all precordial leads. Exercise thallium myocardial scintigraphy was negative despite similar ST depressions. Coronary angiography revealed insignificant stenoses of the left anterior descending coronary artery after the injection of nitrate. Intracoronary acetylcholine provoked diffuse spasm of the artery with concurrent myocardial lactate production. Coronary flow reserve assessed with papaverine was 2.75. The combined use of amlodipine and high-dose nicorandil was effective for the treatment of angina.<br>(Internal Medicine 41: 216-220, 2002)

Journal

  • Internal Medicine

    Internal Medicine 41(3), 216-220, 2002-03

    The Japanese Society of Internal Medicine

References:  14

Codes

  • NII Article ID (NAID)
    10008034527
  • NII NACSIS-CAT ID (NCID)
    AA10827774
  • Text Lang
    ENG
  • Article Type
    NOT
  • ISSN
    09182918
  • NDL Article ID
    6262868
  • NDL Source Classification
    ZS21(科学技術--医学--内科学)
  • NDL Call No.
    Z53-M398
  • Data Source
    CJP  NDL  J-STAGE 
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