Case Report (n=1)
This case highlights that coronary spasm can be purely exercise-induced even in near-normal coronary arteries, contrasting with the typical rest angina seen in Prinzmetal's variant.
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Exercise-induced spasm may expand the differential for exertional angina; this case report leaves open the role of routine provocative testing.
In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest. We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm. The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.
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Franzen et al. (2010) conducted a case report in Exercise-induced coronary spasm (n=1). Exercise provocation was evaluated.
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