One patient — many faces of myocardial ischaemia

Barbara Uznańska-Loch, Urszula Cieślik-Guerra, Tomasz Rechciński, Ewa Trzos, Jarosław D. Kasprzak, Małgorzata Kurpesa

Abstract

We present the case of a woman treated with coronary angioplasty due to non-ST segment elevation myocardial infarction,then again because of restenosis, who continued to complain of chest pain and syncope. Holter electrocardiogram recordingrevealed atrioventricular block related to ST-segment elevations and variant angina was diagnosed. Despite administeredmedications, the patient required pacemaker implantation.

Keywords

Prinzmetal’s variant angina, coronary artery disease, atrioventricular block

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