66 year old woman

Prinzmetal's variant angina associated with severe heart rhythm disturbances and syncope

Prinzmetal's variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma.
Ledakowicz-Polak A1, Ptaszyński P, Polak Ł, Zeppelin's M.
Author information
11st Department of Cardiology and Cardiosurgery, Medical University of Łódź, Poland. anialedakowicz@wp.pl
Abstract
Prinzmetal's angina is a distinct syndrome characterized by episodes of chest pain and transient ST-segment elevation caused by coronary vasospasm. This variant form of angina is sometimes associated with complete atrioventricular block and ventricular arrhythmias. We report here a case of variant angina with documented severe heart rhythm disturbances and syncope in a 66 year-old woman. Due to recurrent episodes of high-degree atrioventricular block, a DDD pacemaker was implanted. No further symptoms of angina or cardiac arrhythmias were detected on optimal therapy.