Key result
Coronary artery spasm initially manifested as nocturnal syncope in a 56-year-old man and was effectively managed with nitrates and calcium-blocking agents.
Coronary artery spasm can present atypically as nocturnal syncope and responds to standard therapy with nitrates and calcium channel blockers.
May prompt consideration of coronary spasm in nocturnal syncope; single case leaves open need for prospective confirmation.
A 56-year-old man had coronary artery spasm. The initial manifestation of the disease was syncope that occurred at night. Coronary artery spasm was documented by Holter recording and cardiac catheterization. The patient was effectively treated with nitrates and calcium-blocking agents.
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Paul Beltran (1982) studied this question. Coronary artery spasm initially manifested as nocturnal syncope in a 56-year-old man and was effectively managed with nitrates and calcium-blocking agents.
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