Vol 16, No 3 (2009)
Case Reports
Published online: 2009-03-10

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Prinzmetal’s variant angina associated with severe heart rhythm disturbances and syncope: A therapeutic dilemma

Anna Ledakowicz-Polak, Paweł Ptaszyński, Łukasz Polak, Marzenna Zielińska
Cardiol J 2009;16(3):269-272.


Prinzmetal’s angina is a distinct syndrome characterized by episodes of chest pain and transient ST-segment elevation caused by coronary vasospasm. This variant form of angina is sometimes associated with complete atrioventricular block and ventricular arrhythmias. We report here a case of variant angina with documented severe heart rhythm disturbances and syncope in a 66 year-old woman. Due to recurrent episodes of high-degree atrioventricular block, a DDD pacemaker was implanted. No further symptoms of angina or cardiac arrhythmias were detected on optimal therapy.

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