Prinzmetal or Vasospastic Angina in a Young Woman: An Under-Diagnosed Pathology

We report through this clinical observation the issue of the diagnosis of vasospastic angina or Prinzmetal’s angina (VSA). Mrs. GV, 41 years old, had as a cardiovascular risk factor an active smoking at the rate of 15 packs-year and a family history of coronary heart disease. 

She was admitted to the emergency department for a stable angina evolving for three weeks with episodes at rest. Biology noted an elevation of ultra-sensitive troponins to 220 ng/l. The electrocardiogram was normal, echocardiography noted moderate hypokinesis of left The coronary angiography performed by right radial artery access with a 5 french catheter concluded to intermediate coronary lesions at 50% in the distal part of the left main coronary artery (LMCA), encompassing the origin of the left circumflex artery (LCA) and left anterior descending artery or LAD (Classification Medina 1-0-0), and a lesion of 50% in the distal portion of the middle right coronary artery or RCA. Read More>>>>>>>>