Coronary stenting in patients with medically resistant vasospasm

Avinash Khitri, Sasanka Jayasuriya, Mohammad Reza Habibzadeh, Mohammad Reza Movahed

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Formally described by Prinzmetal and colleagues in 1959, variant angina represents a syndrome of resting angina that results from severe coronary artery vasospasm associated with ST elevation. The majority of patients respond to nitrates or calcium channel blockers. However, medical treatment-resistant vasospasm can occur in up to 20% of cases, thus requiring further interventions. We present a rare instance of coronary vasospasm associated with complete heart block resistant to medical therapy that was successfidly treated with stenting. This case example is followed by a detailed review of the literature with regard to percutaneous or surgical coronary revascularization of patients with medically resistant vasospasm.

Original languageEnglish (US)
Pages (from-to)264-270
Number of pages7
JournalReviews in Cardiovascular Medicine
Volume11
Issue number4
DOIs
StatePublished - Sep 1 2010

Keywords

  • CABG
  • Conduction defect
  • High-grade AV block
  • Percutaneous coronary intervention
  • Prinzmetal angina
  • Revascularization
  • ST elevation
  • Spasm
  • Stenting
  • Vasospastic angina

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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