PRINZMETAL’S VARIANT ANGINA Treatment

PRINZMETAL’S VARIANT ANGINA

This is a syndrome of ischemic pain at rest and with ECG showing transient ST elevation.

PRINZMETAL'S VARIANT ANGINA Treatment

PRINZMETAL’S VARIANT ANGINA Treatment

PRINZMETAL’S OR variant angina:

  • Chest painApproach to Chest Pain Differential diagnosis of chest pain. Read more ... » that results from the spasm of coronary arteries, rather than from exertion or other increased demands on the heart.
  • On the electrocardiogram, the diagnostic hallmark is elevation of the ST segments during episodes of resting pain.
  • ECG shows ST segment elevation which reverts to normal.
  • Serum markers may be elevated or normal.
  • The pain typically occurs at rest. During coronary catheterization, the spasm is usually found near an atherosclerotic plaque, often in the right coronary artery.
  • Infusions of ergonovine may provoke it.

PRINZMETAL’S OR variant angina Treatment:

  • Nitrates,
  • calcium channel blockers,
  • sub­lingual or IV Nitrates and Prazosin.
  • Aspirin may in­crease the severity of attack.