Cor Vasa 2008, 50(9):348-351 | DOI: 10.33678/cor.2008.120

Variant (Prinzmetal's) angina as a less common cause of cardiac syncope

Marián Fedorco*, Tomáš Skála, Jan Václavík, Jan Lukl
I. interní klinika, Fakultní nemocnice Olomouc a Lékařská fakulty Univerzity Palackého, Olomouc, Česká republika

We present the case of a 62-year-old woman admitted for a syncope. During hospitalization, the syncope recurred with new ECG-documented signs of subendocardial ischemia and increased troponin levels, with the episode classified as suspected acute non-ST elevation myocardial infarction. Surprisingly, coronary angiography did not find any significant stenosis. While in a heart center, the patient experienced short episodes of chest tightness with transient junction rhythm, and subsequent anterolateral ST elevation with inferior ST depression. Based on her history, ECG and negative coronary -angiograms, the patient was diagnosed to have variant angina pectoris. The syncope was due to junction rhythm caused by ischemia during a coronary artery spasm. Her beta-blocker therapy had been withdrawn and with her current combination therapy of a nitrate and a calcium-channel blocker, the patient has been asymptomatic without any further syncopes.

Keywords: Prinzmetal's angina; Vasospastic angina; Coronary spasm; Syncope; Junction rhythm

Published: September 1, 2008  Show citation

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Fedorco M, Skála T, Václavík J, Lukl J. Variant (Prinzmetal's) angina as a less common cause of cardiac syncope. Cor Vasa. 2008;50(9):348-351. doi: 10.33678/cor.2008.120.
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