What is the best treatment for Prinzmetal angina?
How is Prinzmetal angina treated?
- Nitrates: These can be given in sublingual tablets, oral tablets or capsules or patches.
- Calcium channel blockers: These include diltiazem, amlodipine, nifedipine and verapamil.
- Fluvastatin: A statin medication that may have a positive effect on the lining of the blood vessels.
Can Prinzmetal angina be cured?
While Prinzmetal angina can have important consequences, including heart attack and life-threatening cardiac arrhythmias, it can almost always be treated very effectively, once it is correctly diagnosed.
What is a characteristic of Prinzmetal angina?
Summary. Listen. Prinzmetal’s variant angina (PVA) is characterized by recurrent episodes of chest pain (angina) that usually occur when a person is at rest, between midnight and early morning. “Typical” angina, by contrast, is often triggered by physical exertion or emotional stress.
How do you rule out Prinzmetal angina?
It is diagnosed by history, electrocardiogram, or coronary-artery angiography. Provocative tests, such as the cold-pressor test or intravenous ergonovine maleate, are sometimes used to aid diagnosis of PVA.
Does angina ever go away?
If it’s angina, your symptoms usually ease or go away after a few minutes’ rest, or after taking the medicines your doctor or nurse has prescribed for you, such as glyceryl trinitrate medicine (GTN). If you’re having a heart attack, your symptoms are less likely to ease or go away after resting or taking medicines.
Why is angina worse at night?
Angina decubitus is angina that occurs when a person is lying down (not necessarily only at night) without any apparent cause. Angina decubitus occurs because gravity redistributes fluids in the body. This redistribution makes the heart work harder.
Can caffeine cause coronary artery spasm?
Coronary artery vasospasm would be another possibility, and he has several potential triggers, including alcohol, pseudoephed- rine, caffeine, and marijuana use. Vasospasm can occur with exertion, even though we often think of it as occurring at rest.
Can angina occur while sleeping?
Prinzmetal’s angina (variant angina). It might happen at night while you’re sleeping or resting. Your heart arteries suddenly tighten or narrow. It can cause a lot of pain, and you should get it treated.
Why is aspirin contraindicated in prinzmetal angina?
Conclusion: In vasospastic angina without significant coronary artery stenosis, patients taking low-dose aspirin are at higher risk of MACE, driven primarily by tendency toward rehospitalization. Low-dose aspirin might be used with caution in vasospastic angina patients without significant coronary artery stenosis.
Can anxiety cause coronary artery spasms?
Such mechanisms can include noncardiac processes such as musculoskeletal pain, esophageal dysmotility, and anxiety itself. In addition, the physiologic effects of a panic attack can lead to coronary artery spasm and small-vessel ischemia, resulting in coronary chest pain.