AI Article Synopsis
- 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.
Article Abstract
We present the case of a 60-year-old male, with active smoking and cocaine use disorder, who reported progressive chest pain. Various anatomical and functional cardiac imaging, performed to further evaluate chest pain etiology, revealed changing severity and distribution of left main artery (LMA) stenosis, raising suspicion for vasospasm. Intracoronary nitroglycerin relieved the vasospasm, with resolution of the LMA pseudostenosis. A diagnosis of vasospastic angina (VA) led to starting appropriate medical therapy with lifestyle modification counselling. This case highlights VA, a frequently underdiagnosed etiology of angina pectoris. We discuss when to suspect VA, its appropriate work-up, and management.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11122690 | PMC |
| http://dx.doi.org/10.14797/mdcvj.1365 | DOI Listing |
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