A case of vasospastic angina. Vasospasm physiopathology: a new therapeutic role for ranolazine?

  • Carlo Uran | carlura@libero.it Complex Operative Unit of Cardiology, Intensive Unit Coronary Care, Hospital Centre San Giuseppe e Melorio, ASL Caserta, Italy. https://orcid.org/0000-0001-7661-4963
  • Giacomo Di Chiara Complex Operative Unit of Cardiology, Intensive Unit Coronary Care, Hospital Centre San Giuseppe e Melorio, ASL Caserta, Italy.
  • Biagio Bosco Complex Operative Unit of Cardiology, Intensive Unit Coronary Care, Hospital Centre San Giuseppe e Melorio, ASL Caserta, Italy.
  • Domenico D'Andrea Complex Operative Unit of Cardiology, Intensive Unit Coronary Care, Hospital Centre San Giuseppe e Melorio, ASL Caserta, Italy.
  • Pietro Iodice Complex Operative Unit of Cardiology, Intensive Unit Coronary Care, Hospital Centre San Giuseppe e Melorio, ASL Caserta, Italy.

Abstract

We report the case of a 40-year-old man, transferred from another hospital to our ICU because of acute coronary syndrome. Coronarography did not show coronary stenosis. Twenty-four hours monitoring EKG allowed diagnosis of Prinzmetal angina and appropriate therapy was administered. Six months after discharge due recurrence of symptoms, ranolazine was added to therapy. After one year the patient is symptoms free.

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Published
2020-08-03
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Issue
Section
Cardiology - Case Reports
Keywords:
MINOCA, vasospastic angina, ranolazine
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How to Cite
Uran, C., Di Chiara, G., Bosco, B., D’Andrea, D., & Iodice, P. (2020). A case of vasospastic angina. Vasospasm physiopathology: a new therapeutic role for ranolazine?. Monaldi Archives for Chest Disease, 90(3). https://doi.org/10.4081/monaldi.2020.1295