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November 29, 2023CureusOpen Access

Vasospastic Angina in a Young Woman: A Case Report

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Why the study?

Vasospastic angina generally occurs in middle-aged and older adults, but can also occur in young people.

Population

1 female patient in her 20s

Design

Case report

Authors

MYMisa YoshidaYOYuichi OritaCOChikage Oshita

Discussion

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Overview

May support including vasospastic angina in the differential for chest pain in young women; leaves open prospective validation of provocation testing.

Structured PICO

P
Population
1 female patient in her 20s presenting with chest pain at rest or during stress, current smoker with a history of bronchial asthma.
I
Intervention
Spasm provocation test using acetylcholine during coronary angiography, followed by oral calcium channel blocker therapy.
O
Outcome
Diagnosis of coronary spasm and symptom resolution.

Vasospastic angina should be considered in the differential diagnosis of chest pain even in young women.

Cite This Study

Yoshida et al. (2023) studied this question.

synapsesocial.com/papers/6a1a8dbda020f538e6856f29https://doi.org/10.7759/cureus.49640
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Young Vasospastic Angina Patients Less Than 20 Years Old2019 · 15 citations
  2. 2Coronary vasospasm: A narrative review2021 · 28 citations
  3. 3Smoking is a risk factor for coronary spasm in young women.1992 · 121 citations
  4. 4Clinical implications of provocation tests for coronary artery spasm: safety, arrhythmic complications, and prognostic impact: Multicentre Registry Study of the Japanese Coronary Spasm Association2012 · 232 citations
  5. 5Bronchial Asthma and Rest Angina: Is It Safe to Perform Acetylcholine Spasm Provocation Tests in These Patients?2020 · 5 citations