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Prinzmetal angina documented by transtelephonic electrocardiographic monitoring.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Maas, Renke Brockhoff, Carsten Patten, Monica Meinertz, Thomas |
| Copyright Year | 2001 |
| Abstract | A 60-year-old man suffered from paroxysmal episodes of palpitations, angina, and shortness of breath lasting 5 to 10 minutes. The episodes occurred about twice a month and were not related to physical activity or stress. Resting-, exercise-and Holter-ECG and the clinical examination revealed no abnormalities. A coronary angiogram showed only mild coronary artery disease, with no significant stenosis (Figure, a). To elucidate the cause of the episodes, the patient received a credit card–sized event ECG recorder (Rhythm-card) that was capable of recording and transmitting 1-minute single-lead ECGs. He was instructed to record and transmit an ECG in case of symptoms and to record an additional ECG immediately after each symptomatic episode. The patient's reference ECG was recorded at rest while he was asymptomatic (Figure, b). After 1 week, while having typical symptoms again, the patient recorded an ECG (Figure, c) with marked ST elevations. In the ECG (Figure, d) recorded 5 minutes after the symptoms terminated, the ST segment was almost normalized. These findings were highly suggestive of Prinzmetal angina , and the patient was treated with retarded nifedipine 20 mg BID and retarded diltiazem 90 mg BID. During a follow-up of 4 months, the patient was free of symptoms. This case demonstrates that single-lead event ECGs can be of diagnostic value in the work-up of paroxysmal chest pain. a, Angiograms showing only mild coronary disease. b, Reference ECG. C, ECG recorded during episode of palpitations, angina, and shortness of breath showing marked ST-segment elevation. D, ECG recorded 5 minutes after episode; note that ST segment is almost back to normal. |
| Starting Page | 2766 |
| Ending Page | 2766 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://circ.ahajournals.org/content/circulationaha/103/22/2766.full.pdf |
| Alternate Webpage(s) | http://circ.ahajournals.org/content/circulationaha/103/22/2766.full.pdf?download=true |
| PubMed reference number | 11390350v1 |
| Volume Number | 103 |
| Issue Number | 22 |
| Journal | Circulation |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Angina Pectoris Angina Pectoris, Variant Arteriopathic disease Chest Pain Congenital Abnormality Coronary Artery Disease Coronary angiography Coronary heart disease Diltiazem Document completion status - Documented Dyspnea Exercise Mental Suffering Nifedipine Patients Physiologic monitoring recorder Stenosis angiogram credit card |
| Content Type | Text |
| Resource Type | Article |
