Prinzmetal's variant angina

Susan A Mayer, L. David Hillis

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Although the prevalence of variant angina pectoris is unknown, it appears to be substantially less common than typical, exertional angina and unstable angina at rest. The patient with variant angina typically complains of a pressure-like, squeezing retrostemal chest discomfort of several minutes duration. The diagnosis is secured by the occurrence of transient ST-segment elevation in association with chest pain, both of which resolve spontaneously or with nitroglycerin. After the diagnosis is made, the patient usually becomes symptom-free on calcium-channel blockers with or without long-acting nitrates. Although the long-term survival of these patients is excellent, an occasional individual with variant angina sustains a complication, most often myocardial infarction, a life-threatening arrhythmia, or sudden cardiac death.

Original languageEnglish (US)
Pages (from-to)243-246
Number of pages4
JournalClinical Cardiology
Issue number4
StatePublished - 1998
Externally publishedYes


  • Prinzmetal's angina
  • Variant angina
  • Vasoconstriction
  • Vasospasm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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