Summary
We describe a case of variant angina associated with acute myocardial ischemia in an adolescent presenting with severe chest pain and transient ST elevation. Subsequent cardiac catheterization revealed normal coronary anatomy, and the patient has been asymptomatic since discharge on calcium channel blockers. Variant angina is a rare cause of chest pain in adolescents.
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References
Fyfe DA, Moodie DS (1984) Chest pain in pediatric patients presenting to a cardiac clinic.Clin Pediatr 23:321–324
Kaski, JC, Maseri A, Vejar M, Crea F, Hackett D (1989) Spontaneous coronary artery spasm in variant angina is caused by a local hyperreactivity to be generalized constrictor stimulus.J Am Coll Cardiol 14:1456–1463
Kushwaha S, Mitchell AG, Yacoub MH (1990) Coronary artery spasm after cardiac transplantation.Am J Cardiol 65:1515–1518
Leppert J, Aberg H, Ringquist I, Sorensson S (1987) Raynaud's phenomenon in a female population: prevalence and association with other conditions.Angiology 38:871–877
Nobuyoshi M, Tanaka M, Nosaka H, et al. (1991) Progression of coronary atherosclerosis: is coronary spasm related to progression?J Am Coll Cordiol 18:904–910
Prinzmetal M, Kennamer R, Merliss R, Wada T, Bor N (1959) The variant form of angina pectoris.Am J Med 27:375–388
Selbst S, Ruddy R, Clark BJ, Henretig FM, Santulli T (1988) Pediatric chest pain: a prospective study.Pediatrics 82:319–323
Selbst SM, Ruddy R, Clark BJ (1990) Chest pain in children: follow-up of patients previously reported.Clin Pediatr 29:374–377
Scholl JM, Veau P, Benacerraf A, Brau J, Hennetier G, Achard F (1988) Long term prognosis of medically treated patients with vasospastic angina and no fixed significant coronary atherosclerosis.Am Heart J 115:559–564
Sohi GS, Drake C, Flowers NC (1985) Friedreich's ataxia associated with hypertrophic cardiomyopathy and coronary vasospasm.Clin Cardiol 10:537–541
Weinberger I, Rotenberg Z, Fuchs J, Sagy A (1987) Myocardial infarction in young adults under 30 years: risk factors and clinical course.Clin Cardiol 10:9–15
Wilkes D, Donner R, Black I, Carabello B (1985) Variant angina in an 11 year old boy.J Am Coll Cardiol 5:761–764
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Ivy, D., Kaye, J., Flitter, D. et al. Variant angina in an adolescent. Pediatr Cardiol 15, 45–47 (1994). https://doi.org/10.1007/BF00797007
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DOI: https://doi.org/10.1007/BF00797007