Prinzmetal's angina (redirected from Prinzmetal's variant angina)

angina /an·gi·na/ (an-ji´nah) (an´jĭ-nah)

1. a. pectoris.

2. spasmodic, choking, or suffocating pain.an´ginal

---

angina of effort  stable a. pectoris; see a. pectoris.

herpes angina , angina herpe´tica herpangina.

intestinal angina  cramping abdominal pain shortly after a meal, lasting one to three hours, due to ischemia of the smooth muscle of the bowel.

angina inver´sa  Prinzmetal's a.

Ludwig's angina  a severe form of cellulitis of the submaxillary space and secondary involvement of the sublingual and submental spaces, usually from infection or a penetrating injury to the floor of the mouth.

angina pec´toris  paroxysmal pain in the chest, often radiating to the arms, particularly the left, usually due to interference with the supply of oxygen to the heart muscle, and precipitated by excitement or effort. It is subdivided into stable and unstable a. pectoris based on the predictability of the frequency, duration, and causative factors for attacks.

Plaut's angina  necrotizing ulcerative gingivostomatitis.

Prinzmetal's angina  a variant of angina pectoris in which the attacks occur during rest, exercise capacity is well preserved, and attacks are associated electrocardiographically with elevation of the ST segment.

pseudomembranous angina  necrotizing ulcerative gingivostomatitis.

silent angina  an episode of coronary insufficiency in which no pain is experienced.

variant angina pectoris  Prinzmetal's a.

---

Prinz·met·al's angina (prnzmtlz, prnts-)

n.

Angina pectoris marked by pain that is not precipitated by cardiac work, is usually of longer duration, and is usually more severe. Also called angina inversa.

---

Prinzmetal's angina

Etymology: Myron Prinzmetal, American cardiologist, 1908-1994

chest pain caused by reversible, severe coronary artery spasm. It is associated with S-T segment elevation that reverts to normal within minutes. The S-T segment elevation indicates total occlusion of the epicardial coronary artery. Also called variant angina.

---

Prinzmetal's angina

Coronary artery vasospasm, variant angina Cardiology A condition characterized by sudden and usually transient vasoconstriction of a coronary artery with ↓ myocardial O₂ Clinical Severe, crushing, chest pain at rest and ST segment deviation Precipitating factors Emotional stress, medications, street drugs–cocaine, cold exposure, stress, vasoconstrictors Diagnosis Normal angiogram, ST segment deviation–usually ↑ without preceding ↑ in heart rate or BP Management Nitrates, nifedipine or diltiazem with aspirin; slow CCBs–eg, verapamil, may contribute to AV block. Cf Angina pectoris.