Key result
Prinzmetal angina requires comprehensive early diagnosis, including electrocardiographic monitoring, and timely consideration of implantable cardioverter-defibrillators for high-risk patients.
Why the study?
This review addresses current problems regarding the pathogenesis, clinical features, early diagnosis, complications, and treatment of Prinzmetal angina.
This review emphasizes the importance of comprehensive early diagnosis of Prinzmetal angina, including prolonged ECG monitoring and provocative testing, and the critical need for risk stratification regarding sudden cardiac death.
Supports early ECG monitoring and ICD consideration in Prinzmetal angina; leaves open prospective validation of risk stratification.
Current problems of Prinzmetal angina (vasospastic angina, variant angina) considers in this review. Attention is drawn to early diagnosis, which should be comprehensive, taking into account possible atypical courses and the development of complications. The important role of electrocardiographic monitoring (including using implantable recorders) is highlighted. It is emphasized that patients with cardiac arrhythmias, syncope are at high risk of developing sudden cardiac death. In this category of patients, it is recommended to timely determine the indications for implantation of a cardioverter - defibrillator. Authors consider the prospects of using new methods of treatment of angina pectoris.
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Shklovskiy et al. (2019) conducted a review in Prinzmetal angina (vasospastic angina). Diagnosis and management strategies was evaluated. Prinzmetal angina requires comprehensive early diagnosis, including electrocardiographic monitoring, and timely consideration of implantable cardioverter-defibrillators for high-risk patients.
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