The British Journal of Cardiology

MARCH 4, 2025

Coronary artery spasm (CAS), or Prinzmetal angina, is a recognised cause of myocardial ischaemia in non-obstructed coronary arteries which typically presents with anginal chest pain. This case report describes an atypical presentation of CAS in a 68-year-old white British male with cardiovascular risk factors.

Chest Pain 73

Chest Pain Tachycardia Angina Arrhythmia 73

Frontiers in Cardiovascular Medicine

FEBRUARY 17, 2025

Ischemia with no obstructive coronary arteries (INOCA) is an increasingly recognized condition in patients presenting with angina and positive stress tests but without significant coronary artery stenosis. The paper discusses a potential interference between vasodilators used in trans-radial access and coronary spasm testing.

Ischemia 52

Ischemia Angina Pharmacology Stenosis 52

Dr. Smith's ECG Blog

MAY 20, 2024

If it is angina, lowering the BP with IV Nitroglycerine may completely alleviate the pain and the (unseen) ECG ischemia. Or is it a very tight stenosis that does not allow enough flow to perfuse myocardium that has a high oxygen demand from severely elevated BP? The ST depressions in I and aVL have resolved.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

EMS 12-Lead

JULY 24, 2023

Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. Aortic Stenosis f. Left Main stenosis (not thrombosed) c. Aortic Stenosis [No Hx syncope, and no systolic murmur] f. This results in Type I MI.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. There is a trend toward these patients being younger — with a greater relative percentage of women — and fewer traditional cardiac risk factors.

Plaque 127

Plaque Angina Blog Stents 127

Dr. Smith's ECG Blog

DECEMBER 7, 2023

I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. The absence of risk factors for coronary artery disease does not mean a patient is not at risk for OMI.

SCAD 124

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 124

DAIC

FEBRUARY 29, 2024

24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103