(2014) Guidelines for diagnosis and treatment of patients with vasospastic
angina (Coronary Spastic Angina) (JCS 2013).
Cinar et al., "Ergotamine-induced vasospastic
ischemia mimicking arterial embolism: Unusual case," Ulusal Travma ve Acil Cerrahi Dergisi, vol.
Current treatments with calcium channel blockers or vasodilators such as nitroglycerin, changing the disease activity and avoiding the compounds that determine constriction at coronary level, make the diagnosis of vasospastic
angina quite difficult (JCS Joint Working Group 2010).
She had no prior history of vasospastic
condition, known inflammatory or autoimmune disorders, relevant allergies, or Raynaud's phenomenon.
Clinical features and prognosis of type 2 myocardial infarction in vasospastic
Studies have also suggested that patients with a history of migraine headaches and Raynaud's Disease, both comorbidities that our patient experienced, are more likely to suffer from vasospastic
Structural changes in the vessel wall due to organized thrombus or extravascular compression can cause vasospastic
attacks, a mechanism described in secondary Raynaud's phenomenon .
Raynaud's phenomenon (RP) is a disorder characterized by episodic vasospastic
attacks of the small blood vessels that supply the skin of the digits that is precipitated by exposure to cold or emotional stress.
However, other unsupported theories such as vasospastic
phenomena, coagulation disorders, and viral infections have also been implicated in its development.
Nitroglycerin patches, creams and gels have all been reported to reduce the severity and frequency of vasospastic
The major sign of PIH is hypertension, suggesting that it is due to vasospastic
events in placenta, uterus and brain.15
Secondly, a direct vasospastic
effect of IFN-a is also a possibility.