Name
PRINZMETAL ANGINA
DESCRIPTION
DETAIL
D.D. : * MYOCARDIAL INFARCTION * PERICARDITIS * DISSECTING AORTIC ANEURYSM * MASSIVE PULMONARY EMBOLISM * AC. PANCREATITIS * AC CHOLECYSTITIS * PRECORDIAL CATCH * AC ANXIETY * TRACHEITIS * MYCOPLASMA PNEUMONIA * PERICARDIAL FAT NECROSIS * ESOPAHGITIS * DA COSTA SYNDROME * PEPTIC ULCER * TIETZE SYNDROME OTHER TESTS : * ECG - MULTILEAD ST SEGMENT ELEVATION DURING PAIN * DIAGNOSIS CONFIRMED BY PROVOCATIVE STIMULUS ( INTRACORONARY ACETYLCHOLINE , HYPERVENTILATION ) ON CORONARY ARTERIOGRAPGY * AMBULATORY ECG MONITORING * PROVOCATIVE TESTING WITH ERGONOVINE WHICH PRODUCES FOCAL SPASM IN 90% OF CASES.( MAY BE DANGEROUS )
TYPENOTES
RISK FACTORS : SMOKING, COCAINETREATMENT : 1. NITROGLYCERINE 2 - CALCIUM CHANNEL BLOCKERS. IF SYMPTOMS NOT COMPLETELY RELIEVED WITH ONE DRUG THAN ADDING SECOND CALCIUM CHANNEL BLOCKER MAY BE BENEFICIAL. 3 . LONG ACTING NITRATES 4 - LOW DOSE ASPIRIN 5 - SHORT ACTING NITRATES SUBLINGUALLY AT THE TIME OF PAIN 6 - SOME TIMES IMIPRAMINE & AMNOPHYLLINE SURGICAL TREATMENT : - PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY ( PTCA ) OR STENTING FOR PATIENTS WITH SIGNIFICANT FIXED CORONARY LESIONS OR WHO ARE REFRACTORY TO MEDICAL TREATMENT.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
ECG, CORONARY ANGIOGRAPHY