Prinzmetal angina: pathogenesis, clinical presentation, diagnosis, treatment


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The article outlines the epidemiology of vasospastic angina pectoris (Prinzmetal angina pectoris, variant angina pectoris), its pathogenesis, and current approaches to the diagnosis and treatment of this pathology. Attention is focused on timely diagnosis, which should be comprehensive, taking into account the possible atypical course of Prinzmetal angina pectoris. The important role of ECG monitoring, including using implantable recorders, is shown. It is emphasized that patients with heart rhythm disturbances and syncope are at high risk of developing sudden cardiac death. This category of patients is recommended to timely determine the indications for implantation of a cardioverter-defibrillator. A clinical observation of a patient with Prinzmetal angina is given.

Full Text

Restricted Access

References

  1. Фомина И.Г., Матвеев В.В., Галанина Н.А., Перская Е.Л. Стенокардия Принцметала. Новый взгляд на патогенез и подходы к лечению // Кардиоваскулярная терапия и профилактика. - 2006. - Т. 5, № 6. - С. 116-122.
  2. Akhtar M.M., Akhtar R., Akhtar A., Akhtar J. An unusual cause of blackout with transient loss of consciousness: Prinzmetal angina // BMJ. Case Rep., 2012. pii: bcr0120125539.
  3. Beltrame J.F., Crea F., Kaski J.C. et al. Coronary Vasomotion Disorders International Study Group (COVADIS). International standardization of diagnostic criteria for vasospastic angina // Eur. Heart J. - 2017. - Vol. 38, N 33. - P. 2565-2568.
  4. Beltrame J.F., Crea F., Kaski J. et al. Coronary Vasomotion Disorders International Study Group (COVADIS). The Who, What, Why, When, How and Where of Vasospastic Angina // Circ. J. - 2016. - Vol. 80, N 2. - P. 289-298.
  5. ESC guidelines on the management of stable coronary artery disease. The Task Force on the management of stable coronary artery disease of the European Society // Cardiology Eur. Heart J. - 2013. - Vol. 34. - P. 2949-3003.
  6. Hata R., Oka N., Kubo S. et al. Impact of Stent Type and Presence of Vasospastic Angina on Long-Term Prognosis // Circ. J. - 2018. - Vol. 82, N 2. - P. 469-476.
  7. Hung M.J., Hu P., Hung M.Y. Coronary artery spasm: review and update // Int. J. Med. Sci. - 2014. - Vol. 11, N 11. - P. 1161-1171.
  8. Kim S.J., Juong J.Y., Park T.H. Ventricular Tachycardia Associated Syncope in a Patient of Variant Angina without Chest Pain // Korean Circ. J. - 2016. - Vol. 46, N 1. - P. 102-106.
  9. Lee E.M., Choi M.H., Seo H.S. et al. Impact of vasomotion type on prognosis of coronary artery spasm induced by acetylcholine provocation test of left coronary artery // Atherosclerosis. - 2017. - N 257. - P. 195-200.
  10. Ogawa H., Akasaka T., Hattori R. et al. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013) // Circ. J. - 2014. - Vol. 78, N 11. - P. 2779-2801.
  11. Parikh A., Vacek T.P. Spontaneous Left Main and Right Coronary Artery Spasm in a Patient With Vasospastic Angina // J. Investig. Med. High. Impact Case Rep. - 2017. - Vol. 5, N 3: 2324709617732796. PMID: 28989933.
  12. Prinzmetal M., Kennamer R., Merliss R. et al. Angina pectoris I A variant form of angina pectoris: preliminary report // Am. J. Med. - 1959. - Vol. 27. - P. 375-388.
  13. Slavich M., Patel R.S. Coronary artery spasm: Current knowledge and residual uncertainties // Int. J. Cardiol. Heart Vasc. - 2016. - N 10. - P. 47-53.
  14. Takagi Y., Yasuda S., Takahashi J. et al. Japanese Coronary Spasm Association. Clinical implications of provocation tests for coronary artery spasm: safety, arrhythmic complications, and prognostic impact: multicentre registry study of the Japanese Coronary Spasm Association // Eur. Heart J. - 2013. - Vol. 34, N 4. - P. 258-267.
  15. Yasue H., Nakagawa H., Itoh T. et al. Coronary artery spasm-clinical features, diagnosis, pathogenesis and treatment // J. Cardiol. - 2008. - Vol. 51, N 1. - P. 2-17.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2019 Ovchinnikov Y.V., Shklovskii B.L., Prokhorchik A.A., Patsenko M.B., Pyrev A.N., Savrukova O.A., Baksheev V.I.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies