A 60-year-old male with a history of smoking and cocaine use presented with worsening chest pain, prompting cardiac imaging.
Imaging results showed fluctuating stenosis in the left main artery, suggesting a possible case of vasospasm, which was confirmed after treatment with intracoronary nitroglycerin.
This case underscores the often-misdiagnosed condition of vasospastic angina (VA), emphasizing the need for awareness in diagnosis and management strategies.