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Vol 12, No 3 (2017)
Case Reports
Published online: 2017-06-30
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Raynaud’s phenomenon as a predictor of a rare type of coronary artery disease — Prinzmetal angina

Andrzej Jakub Sałacki, Andrzej Wysokiński
DOI: 10.5603/FC.2017.0055
·
Folia Cardiologica 2017;12(3):285-290.

open access

Vol 12, No 3 (2017)
Case Reports
Published online: 2017-06-30

Abstract

This is a case of a man referred from a primary care facility to an emergency department because he had strong pains of the spine that had already been present for 2 weeks. He was hospitalized in an endocrinology clinic due to his uncontrolled diabetes. During this stay, he had several Raynaud’s syndrome attacks. Very soon after an attack he felt a strong and characteristic pain in his chest. The angiography of coronary vessels was performed when the patient was experiencing pain showed a spasm in the initial part of the left anterior descending artery which later stopped after an intracoronary nitroglycerin dose was administered. Markers of myocardial necrosis were not increased. This clinical picture and results of additional tests point towards Prinzmetal angina (coronary vessel spasm). The interesting thing is that the pain in the chest was always preceded by a paroxysmal arterial spasm in the fi ngers which also turned pale and the patient experienced a “pins and needles” sensation. Then the skin would turn blue and then red and later burn. The drug therapy which, following our decision, was the same in both cases, eliminated the ailments of the chest and fingers.

Abstract

This is a case of a man referred from a primary care facility to an emergency department because he had strong pains of the spine that had already been present for 2 weeks. He was hospitalized in an endocrinology clinic due to his uncontrolled diabetes. During this stay, he had several Raynaud’s syndrome attacks. Very soon after an attack he felt a strong and characteristic pain in his chest. The angiography of coronary vessels was performed when the patient was experiencing pain showed a spasm in the initial part of the left anterior descending artery which later stopped after an intracoronary nitroglycerin dose was administered. Markers of myocardial necrosis were not increased. This clinical picture and results of additional tests point towards Prinzmetal angina (coronary vessel spasm). The interesting thing is that the pain in the chest was always preceded by a paroxysmal arterial spasm in the fi ngers which also turned pale and the patient experienced a “pins and needles” sensation. Then the skin would turn blue and then red and later burn. The drug therapy which, following our decision, was the same in both cases, eliminated the ailments of the chest and fingers.

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Keywords

Prinzmetal’s angina, Raynaud’s phenomenon, calcium channel blockers

About this article
Title

Raynaud’s phenomenon as a predictor of a rare type of coronary artery disease — Prinzmetal angina

Journal

Folia Cardiologica

Issue

Vol 12, No 3 (2017)

Pages

285-290

Published online

2017-06-30

DOI

10.5603/FC.2017.0055

Bibliographic record

Folia Cardiologica 2017;12(3):285-290.

Keywords

Prinzmetal’s angina
Raynaud’s phenomenon
calcium channel blockers

Authors

Andrzej Jakub Sałacki
Andrzej Wysokiński

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