Key result
A 40-year-old man with Prinzmetal angina and multifocal ECG changes had normal coronary arteries on arteriography, suggesting a reversible event caused the attacks.
Case Report (n=1)
This case report highlights that Prinzmetal angina with multifocal ECG changes can occur in the presence of angiographically normal coronary arteries, pointing to coronary vasospasm.
May indicate vasospasm despite normal coronaries in Prinzmetal angina; hypothesis-generating and should not yet change practice.
A 40-year-old man with severe angina had electrocardiographic changes typical of Prinzmetal angina during his attacks of chest pain. ST segment elevations in leads II, III, and aVF occurred intermittently with elevations in leads I and aVL, and with T wave flattening in V1, suggesting myocardial ischemia in areas supplied by the right coronary artery and by the circumflex branch of the left coronary artery. However, the coronary arteries appeared normal when arteriograms were made, suggesting that a reversible event caused the attacks.
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L. Julian Haywood (1976) conducted a case report in Prinzmetal angina (n=1). Coronary arteriography was evaluated on Coronary artery appearance on arteriogram. A 40-year-old man with Prinzmetal angina and multifocal ECG changes had normal coronary arteries on arteriography, suggesting a reversible event caused the attacks.
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