An atypical case of vasospastic angina: demonstrating the usefulness of Holter monitoring

Ganiga, Naveen Chandra S (2015) An atypical case of vasospastic angina: demonstrating the usefulness of Holter monitoring. BMJ Case Report. pp. 1-4. ISSN 1757-790X

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Abstract

Prinzmetal variant angina or vasospastic angina is a clinical syndrome characterised by episodic chest pain and transient reversible ST segment changes in ECG. The coronary artery disease is present. Timely diagnosis not only helps relieve symptoms, it also prevents complications such as ventricular tachycardia. Conventional provocative tests are used for diagnosis of such conditions; they have varied sensitively and specificity, and are cumbersome to perform. We present a case of an elderly man who presented with recurrent episodes of breathlessness and chest pain, where Holter monitoring proved to be a better mode for diagnosing variant angina than more invasive provocative tests. In this report, we reemphasis the role of this simple non-invasive diagnostic mode for diagnosis of variant angina.

Item Type: Article
Subjects: Medicine > KMC Manipal > Cardiology
Depositing User: KMC Library
Date Deposited: 22 Dec 2015 14:57
Last Modified: 22 Dec 2015 14:57
URI: http://eprints.manipal.edu/id/eprint/144908

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