Spontaneous episodes of chest pain due to coronary artery vasospasm in the absence of increase in myocardial oxygen demand in either normal or diseased coronary vessels
Also known as ...
Radiates to neck, jaw, left shoulder, or arm
Occurs at rest
Occurs more frequently at night or in the morning
Presyncope or syncope
Vital signs and oxygen saturation
All patients wit...
New-onset chest pain
Rule-in with positive biochemical markers or provocative testing
Rule-in with positive biochemical markers or stress testing
Many patients prev...
95% survival at 5 yr
Typical patient will have no traditional coronary risk factors other than smoking.
Calcium-channel blockers are 1st-line therapy.
30–40% of patients are refractor...
Crea F, Lanza GA. New light on a forgotten disease: vasospastic angina. J Am Coll Cardiol. 2011;58(12):1238–1240.
Krim NR, Narasimhan S, Monrad ES. Severe multivessel coro...
411.1 Intermediate coronary syndrome
413.1 Prinzmetal angina
I20.1 Angina pectoris with documented spasm
I24.9 Acute ischemic heart disease, unspecified
87343002 Prinzmetal angina (di...
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