Exuberant Vasospastic Angina Simulating Severe Three-Vessel Disease

Marmelo, Bruno; Abreu, Luís; Gil, Júlio; Ferreira, Pedro; Cabral, José Costa

doi:10.5935/abc.20170071

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2019

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“…Приступ ВССТ может симулировать ОКС с поражением трех коронарных сосудов [53]. Необходимо также учитывать, что желудочковая тахикардия, ассоциированная только с синкопой, может быть вариантом ВССТ без болей в сердце, что требует проведения провокационного внутрикоронарного теста с эргоновином [54].…”

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Prinzmetal angina. Questions of pathogenesis, clinic, diagnosis and treatment

Shklovskiy

Prokhorchik

Pyr'ev

et al. 2019

Terapevticheskii arkhiv

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Current problems of Prinzmetal angina (vasospastic angina, variant angina) considers in this review. Attention is drawn to early diagnosis, which should be comprehensive, taking into account possible atypical courses and the development of complications. The important role of electrocardiographic monitoring (including using implantable recorders) is highlighted. It is emphasized that patients with cardiac arrhythmias, syncope are at high risk of developing sudden cardiac death. In this category of patients, it is recommended to timely determine the indications for implantation of a cardioverter - defibrillator. Authors consider the prospects of using new methods of treatment of angina pectoris.

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