L’angor de repos: [ ] l’une de ses formes, l’angor de Prinzmetal, est un angor lié au spasme des artères coronaires; il survient la nuit, souvent. Variant angina, often termed Prinzmetal’s angina, Prinzmetal angina and less commonly vasospastic angina, angina inversa, coronary vessel spasm. L’angor de Prinzmetal est un angor spastique qui peut se révéler de façon dramatique par de graves troubles du rythme ventriculaire allant de la «mort subite.

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Endocarditis infective endocarditis Subacute bacterial endocarditis non-infective endocarditis Libman—Sacks endocarditis Nonbacterial thrombotic endocarditis. The mechanism that causes such intense vasospasm, as to cause a clinically significant narrowing of the coronary arteries is so far unknown, but there are three relevant hypotheses:.

Prinzmetal ou spasme coronaire : une cause rare de mort subite – EM|consulte

This contrasts with classical angina which is due to the permanent occlusion of prinzmeta, vessels by atherosclerosis i. Access to the PDF text. These images are a random sampling from a Bing search on the term “Vasospastic Angina.

When PVA is associated with coronary atherosclerosis, the prognosis is determined by the severity of the underlying disease.


Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Our website uses cookies to enhance your experience. As maintenance therapy, sublingual nitroglycerin tablets can anglr taken min before conducting activity that causes angina by the small percentage of patients who experience angina infrequently and only when doing such activity.

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Vasospastic Angina

Indeed, it often woke sufferers from their normal sleep. Other factors thought to be associated with the development of variant angina include: An update on spontaneous coronary artery dissection, vasospastic angina and coronary microvascular antor. A variant form of angina pectoris”. Get free access to newly published articles Create a personal account or sign in to: Afflicted individuals should not smoke tobacco products.

They last minutes to hours, often with a predictable daily pattern, and show a pathognomonic ECG consisting of ST segment elevation rather than depression during the angof, in the leads facing the region of myocardial ischemia. Drugs, Devices, and Other Interventions. These episodes may be far more frequent than expected, cause myocardial ischemia i.

Medical therapy classically employs vasodilator drugs, which include nitrates and calcium channel blockers. Related links to external sites from Bing.


The American Journal of Medicine.

For a portion of patients, variant angina may be a prinzmetall of a more generalized episodic smooth muscle -contractile disorder such as migraineRaynaud’s phenomenonor aspirin-induced asthma. Unlike cases of atherosclerosis-related stable anginathese symptoms are often unrelated to exertion and occur in night or early morning hours. Coronary Artery Disease Chapter.

Report of a six year experience”. However, individuals commonly develop tolerancei. Smoke cessation significantly reduces the incidence of patient-reported variant angina attacks. Cardiac prinzmetap revealed a coronary artery spasm. Long-acting nitroglycerins such orinzmetal isosorbide dinitrate or intermittent use of short-acting nitroglycerin to treat acute symptoms may be added to the calcium channel blocker regimen in individuals responding sub-optimally to the channel blockers.

Myocarditis Chagas disease Cardiomyopathy Dilated Alcoholic Hypertrophic Restrictive Loeffler endocarditis Cardiac amyloidosis Endocardial fibroelastosis Arrhythmogenic right ventricular dysplasia.

Bypass Surgery for Prinzmetal Angina

Content is updated monthly with systematic literature reviews and conferences. A rare cause of sudden death. Back Links pages that link to this page.