Angina de Prinzmetal
um relato de caso
Palavras-chave:
Relatos de caso, Diagnóstico, Condutas terapêuticas, PrognósticoResumo
A angina de Prinzmetal ocorre devido a um espasmo focal de uma artéria coronária epicárdica, causando isquemia miocárdica grave. Distúrbios de contratilidade do músculo liso podem estar relacionados àcausa da doença, entretanto isso ainda não está bem definido na literatura. O prognóstico pode ser benigno, e o relato deste caso é um importante meio para a difusão de conhecimentos a respeito do tema angina de Prinzmetal, descrevendo o processo diagnóstico e as condutas terapêuticas. A angina de Prinzmetal, apesar de ser uma variante rara de angina, possui gravidade considerável que, se não tratada, gera consequências severas na vida do paciente. Ela provoca piora na qualidade de vida do paciente, devido à dor e pela possibilidade de causar infarto miocárdio, arritmia e até mesmo morte súbita.
Referências
Picard F, Sayah N, Spagnoli V, Adjedj J, Varenne O. Vasospastic
angina: A literature review of current evidence. Arch Cardiovasc
Dis. 2019;112(1):44-55
Tateishi K, Saito Y, Kitahara H, Takaoka H, Kondo Y, Nakayama T, et al.
Vasospastic angina and overlapping cardiac disorders in patients
resuscitated from cardiac arrest. Heart Vessels. 2021;36(3):321-9
Sheth MA, Widmer RJ, Dandapantula HK. Pathobiology and
evolving therapies of coronary artery vasospasm. Proc (Bayl Univ
Med Cent). 2021;34(3):352-360.
Kleyman R, Goyal R, Patel N, Joseph J, Akel R. Vasospastic Angina
and Role of Cardiac Catheterization. Cureus. 2019;11(9):e5588.
Sueda S. Young Vasospastic Angina Patients Less Than 20 Years
Old. Circ J. 2019;83(9):1925-8
Dahdouh Z, Mohamed T. Prinzmetal Angina Mimicking Severe
Three-Vessel Coronary Artery Disease. J Invasive Cardiol.
;32(9):E240-1
Uran C, Di Chiara G, Bosco B, D’Andrea D, Iodice P. A case
of vasospastic angina. Vasospasm physiopathology: a new
therapeutic role for ranolazine? Monaldi Arch Chest Dis. 2020;90(3)
Kim HL, Lee SH, Kim J, Kim HJ, Lim WH, Seo JB, et al. Incidence
and risk factors associated with hospitalization for variant angina
in Korea. Medicine (Baltimore). 2016;95(13):e3237. Erratum in:
Medicine (Baltimore). 2016;95(25):e202e
Ahn JM, Lee KH, Yoo SY, Cho YR, Suh J, Shin ES, et al. Prognosis
of Variant Angina Manifesting as Aborted Sudden Cardiac Death. J
Am Coll Cardiol. 2016;68(2):137-45.
Kim HL, Kim J, Kim HJ, Lim WH, Lee JY. Incidence and factors
associated with mortality in 2,476 patients with variant angina in
Korea. Sci Rep. 2017;7:46031.
Gaur A, Patibandla S, Sohal S, Monzidelis C, Garyali S. Girl Who
Cried Wolf: A Case of Prinzmetal Angina With Related ST-Elevation
Myocardial Infarction. Cureus. 2021;13(1):e12661.
Agrawal Y, Ponna PK, Halabi AR, Aloka F. Prinzmetal angina:
echocardiographic captured and angiographically proven without
provocative testing. BMJ Case Rep. 2020;13(9):e236353.
Ghadri JR, Ruschitzka F, Lüscher TF, Templin C. Prinzmetal angina.
QJM. 2014;107(5):375-7.
Chahin M, Zoltowska DM, Al-Turk B, Suryadevara S. Vasospastic
angina on coronary angiography. BMJ Case Rep. 2020;13(9):e237753.
Beltrame JF, Crea F, Kaski JC, Ogawa H, Ong P, Sechtem U, et
al.; Coronary Vasomotion Disorders International Study Group
(COVADIS). International standardization of diagnostic criteria for
vasospastic angina. Eur Heart J. 2017;38(33):2565-8.
Matta A, Bouisset F, Lhermusier T, Campelo-Parada F, Elbaz M,
Carrié D, et al. Coronary Artery Spasm: New Insights. J Interv
Cardiol. 2020;2020:5894586.
Sawano M, Katsuki T, Kitai T, Tamita K, Obunai K, Ikegami Y, et al.
Beta blockers versus calcium channel blockers for provocation of
vasospastic angina after drug-eluting stent implantation: a multicentre
prospective randomised trial. Open Heart. 2020;7(2):e001406.
Kim SR, Choi KH, Song YB, Lee JM, Park TK, Yang JH, et al. Effect
of sarpogrelate and high-dose statin on the reduction of coronary
spasm in vasospastic angina: A two by two factorial, pilot
randomized study. Clin Cardiol. 2019;42(10):899-907.
Downloads
Publicado
Como Citar
Edição
Seção
Categorias
Licença
Copyright (c) 2023 JBMEDE - Jornal Brasileiro de Medicina de Emergência
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
