What triggers prinzmetal angina?
Prinzmetal’s angina. Attacks tend to occur in clusters. Emotional stress, smoking, medications that tighten blood vessels (such as some migraine drugs) and use of the illegal drug cocaine may trigger Prinzmetal’s angina.
What is the treatment for prinzmetal angina?
Treatment of Variant Angina (Prinzmetal) Angina Medicines can help control the spasms. Drugs such as calcium antagonists and nitrates are the mainstays of treatment. The spasms tend to come in cycles – appearing for a time, then going away.
Is prinzmetal angina life threatening?
Variant (Prinzmetal’s) angina. It’s caused by a sudden spasm of the arteries in your heart and can cause severe pain. Symptoms can often be relieved with medication, but in some cases the spasm of the arteries can lead to potentially life-threatening arrhythmias or damage to the heart muscle.
How is prinzmetal’s angina diagnosed?
Prinzmetal’s variant angina (PVA) is a form of angina caused by coronary-artery vasospasm (CAS) and is not associated with exertion. It is diagnosed by history, electrocardiogram, or coronary-artery angiography.
How long can you live with prinzmetal angina?
Survival at 1 and 5 years was 95% and 89%, respectively; survival without infarction was 83% and 69%. Coronary disease and the degree of disease activity were strong predictors of survival by Cox analysis.
How long does prinzmetal angina last?
Episodes tend to last around 5 to 15 minutes (longer in some cases), and tend to be similar to each other.
Which drug is most likely to accentuate variant prinzmetal angina?
Multiple triggers have been associated with the development of vasospastic angina. Several drugs such as ephedrine and sumatriptan can cause typical chest pain due to coronary spasm. Recreational drugs like cocaine, amphetamines, alcohol, and marijuana are also possible precipitating factors.
Is prinzmetal angina considered heart disease?
Not a Heart Attack, But May Feel Like It The chest pain that people experience with Prinzmetal angina is indistinguishable from classic, typical angina caused by atherosclerosis.
What medications should be avoided with aortic stenosis?
The patient with severe aortic stenosis is relatively “afterload fixed and preload dependent” — meaning cardiac output does not increase with after-load reduction. Thus all afterload reducing agents (angiotensin-converting enzyme inhibitors, calcium channel blockers, blockers) are contraindicated.