Introduction and Patient Description,Assessment of patients with angina pectoris is a challenge for the clinical cardiologist.Myocardial ischemia and angina pectoris can be caused by various mechanisms,such as coronar...Introduction and Patient Description,Assessment of patients with angina pectoris is a challenge for the clinical cardiologist.Myocardial ischemia and angina pectoris can be caused by various mechanisms,such as coronary atherosclerosis,vasospasm,or coronary microvascular dysfunction[1].Moreover,these mechanisms may overlap in a given patient,making it difficult to determine the cause of angina.We report here the case of a 57-year-old female patient with a history of angina pectoris that started 3 months previously.Her symptoms occurred predominantly at rest but also with effort.The patient was an active smoker who smoked about 15 cigarettes per day(~20 packyears).Moreover,she had hypertension treated with enalapril.Her LDL level was 75 mg/dl without any cholesterol-lowering therapy.She was sent for diagnostic coronary angiography for suspected stenosing coronary artery disease.展开更多
Introduction Myocardial ischemia and angina pectoris can be caused by various mechanisms such as coronary atherosclerosis,vasospasm or coronary microvascular dysfunction[1].We here report a case of a56-year-old female...Introduction Myocardial ischemia and angina pectoris can be caused by various mechanisms such as coronary atherosclerosis,vasospasm or coronary microvascular dysfunction[1].We here report a case of a56-year-old female patient with a history of previous percutaneous coronary interventions(PCI)who reported repetitive attacks of resting angina.Coronary risk factors included hypertension,hypercholesterolemia(LDL=97 mg/dL on atorvastatin),ex-smoker(ceased 2013),and a positive family history(fatal myocardial infarction in father aged52years and brother 59 years).展开更多
文摘Introduction and Patient Description,Assessment of patients with angina pectoris is a challenge for the clinical cardiologist.Myocardial ischemia and angina pectoris can be caused by various mechanisms,such as coronary atherosclerosis,vasospasm,or coronary microvascular dysfunction[1].Moreover,these mechanisms may overlap in a given patient,making it difficult to determine the cause of angina.We report here the case of a 57-year-old female patient with a history of angina pectoris that started 3 months previously.Her symptoms occurred predominantly at rest but also with effort.The patient was an active smoker who smoked about 15 cigarettes per day(~20 packyears).Moreover,she had hypertension treated with enalapril.Her LDL level was 75 mg/dl without any cholesterol-lowering therapy.She was sent for diagnostic coronary angiography for suspected stenosing coronary artery disease.
文摘Introduction Myocardial ischemia and angina pectoris can be caused by various mechanisms such as coronary atherosclerosis,vasospasm or coronary microvascular dysfunction[1].We here report a case of a56-year-old female patient with a history of previous percutaneous coronary interventions(PCI)who reported repetitive attacks of resting angina.Coronary risk factors included hypertension,hypercholesterolemia(LDL=97 mg/dL on atorvastatin),ex-smoker(ceased 2013),and a positive family history(fatal myocardial infarction in father aged52years and brother 59 years).
