Prinzmetal's angina, normal coronary arteries and pericarditis.

Journal Article (Journal Article)

A woman with Prinzmetal's variant angina had spontaneous attacks of myocardial ischemia characterized by severe chest pain, hypotension, inferior ST-segment elevation, transient complete heart block and selective right ventricular dysfunction. Despite initial improvement following intravenous administration of atropine and sublingual administration of nitroglycerin she died of cardiogenic shock. Autopsy showed normal coronary arteries and acute pericarditis, more pronounced over the right side of the heart. It is postulated that the pericardial inflammation elicited severe spasm of the subjacent right coronary artery.

Full Text

Duke Authors

Cited Authors

  • Lewis, JR; Kisilevsky, R; Armstrong, PW

Published Date

  • July 8, 1978

Published In

Volume / Issue

  • 119 / 1

Start / End Page

  • 36 - 39

PubMed ID

  • 679098

Pubmed Central ID

  • PMC1818306

International Standard Serial Number (ISSN)

  • 0008-4409


  • eng

Conference Location

  • Canada