A RARE CLINICAL CASE OF PRINZMETAL‘S ANGINA COMPLICATEDWITH COMPLETE AV BLOCK AND VENTRICULAR FIBRILLATION

Abstract

Prinzmetal Angina, described for the first time in 1959 by the American cardiologist Myron Prinzmetal, is a rare form of angina pectoris, which is caused by a coronary angiospasm. The patients are usually young with little risk factors for ischemic heart disease except smoking. We present a case of a young, 44-year-old woman, which was admitted to our clinic with severe onset of chest pain. Admission ECG demonstrated ST-segment elevation in the inferior leads. We performed emergency coronary angiography and found a spasm in the left main artery (LM), while the other arteries had no stenosis, and so the patient was diagnosed with – Vasospastic angina pectoris also known as Prinzmetal‘s Angina