An Unusual Case of Refractory Angina

Abstract

Vasospastic angina (VA) is characterized by segments of coronary artery that have exaggerated constrictor response to a variety of stimuli, resulting in partial or complete occlusion of the vessel, leading to myocardial ischemia. Here, we are presenting a case report of a patient who was known to have VA. Initially, she was treated with pharmacotherapy. Once it became treatment-refractory and involved left main stem and exposed significant amount of myocardium at risk, it required treating with percutaneous coronary intervention, which controlled her symptoms markedly. We briefly discuss the treatment options currently available.

Keywords

• refractory
• treatment
• vasospastic angina