Vasospastic Coronary Artery Disease or Microvascular Angina or Coexisting Syndromes – Extensive Perfusion Defect Resolution after Treatment Modification

Stanisław Piszczek1*, Konrad Tkaczewski2, Andrzej Mazurek1 and Mirosław Dziuk1

1Department of Nuclear Medicine, Military Institute of Medicine, Poland
2Department of Interventional Cardiology, Division of Cardiology and Internal Diseases, Military Institute of Medicine, Poland

^*Correspondance to: Stanisław Piszczek 

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Abstract:

Less frequent manifestation of Coronary Artery Disease (CAD) that has to be taken into consideration in such cases is vasospastic angina. Coronary spasm has been observed on angiograms, but exceptionally in left main artery. Vasospastic pathomechanism was repeatedly proven by intracoronary spasm inducement with ergonovine or acetylcholine injection. Although focal (single or multifocal) coronary artery occlusion occur mostly at rest and is related with ST elevation (variant or Prinzmetal angina), there are scarce reports of exertional related vasospastic angina leading to ST depression.

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Cite the Article:

Piszczek S, Tkaczewski K, Mazurek A, Dziuk M. Vasospastic Coronary Artery Disease or Microvascular Angina or Coexisting Syndromes – Extensive Perfusion Defect Resolution after Treatment Modification. Ann Clin Case Rep. 2022; 7: 2095..