Prinzmetal angina: pathogenesis, clinical presentation, diagnosis, treatment

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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.

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