What is variant angina?

What is variant angina?

Prinzmetal angina (vasospastic angina or variant angina) is a known clinical condition characterized by chest discomfort or pain at rest with transient electrocardiographic changes in the ST segment, and with a prompt response to nitrates. These symptoms occur due to abnormal coronary artery spasm.

Are prinzmetal and unstable angina the same?

Unstable angina is dangerous and requires emergency treatment. Variant angina (Prinzmetal angina). Variant angina, also called Prinzmetal angina, isn’t due to coronary artery disease. It’s caused by a spasm in the heart’s arteries that temporarily reduces blood flow.

What is the difference between unstable angina?

There are 2 main types of angina you can be diagnosed with: stable angina (more common) – attacks have a trigger (such as stress or exercise) and stop within a few minutes of resting. unstable angina (more serious) – attacks are more unpredictable (they may not have a trigger) and can continue despite resting.

What causes variant angina?

Variant angina is caused by a spasm in a coronary artery that supplies the heart muscle with blood, oxygen, and nutrients. A spasm is a sudden, temporary narrowing or tightening of a small part of an artery.

When does variant angina occur?

Prinzmetal’s variant angina (PVA) is characterized by recurrent episodes of chest pain (angina) that usually occur when a person is at rest, between midnight and early morning. Typical angina, by contrast, is often triggered by physical exertion or emotional stress.

What are four types of angina?

Types of Angina

  • Stable angina.
  • Unstable angina.
  • Microvascular Angina.
  • Vasospastic or variant angina.

What are categories of unstable angina?

Five different although not mutually exclusive causes of unstable angina are now recognized. These are (1) a nonocclusive thrombus on a preexisting plaque, (2) dynamic obstruction, (3) progressive mechanical obstruction, (4) inflammation, and (5) secondary unstable angina.

Is troponin positive in unstable angina?

Non-ST-elevation myocardial infarction (NSTEMI), ST-elevation MI (STEMI), and unstable angina are the three traditional types of ACS. However, the widespread use of the high-sensitivity troponin test has changed the diagnosis of unstable angina to NSTEMI in almost all patients formerly diagnosed with unstable angina.

Is stable angina or unstable?

Stable angina occurs predictably. It happens when you exert yourself physically or feel considerable stress. Stable angina doesn’t typically change in frequency and it doesn’t worsen over time. Unstable angina is chest pain that occurs at rest or with exertion or stress.

What is the difference between unstable angina and non ST elevation MI?

The distinguishing feature between unstable angina and non-STEMI is the presence of elevated cardiac markers, such as troponin, which implies myocardial damage. Patient history alone is insufficient to make a diagnosis of acute coronary syndrome.

Does a ECG show unstable angina?

The ECG in unstable angina may show hyperacute T-wave, flattening of the T-waves, inverted T-waves, and ST depression. ST elevations indicate STEMI and these patients should be treated with percutaneous coronary intervention or thrombolytics while they wait on the availability of a catheterization lab.

What triggers variant angina?

Causes of Variant (Prinzmetal) Angina: The pain from variant angina is caused by a spasm in the coronary arteries (which supply blood to the heart muscle). The coronary arteries can spasm as a result of: Exposure to cold weather. Stress.

What does variant angina feel like?

The symptoms of variant angina include: Intermittent chest pain that: Occurs while resting, or during the overnight or early morning hours. May spread to other parts of the body, such as the throat, arms, between the shoulder blades, or stomach (may feel like an ulcer or indigestion)

What is the difference between ST elevation MI and non ST elevation MI?

STEMI results from complete and prolonged occlusion of an epicardial coronary blood vessel and is defined based on ECG criteria..NSTEMI usually results from severe coronary artery narrowing, transient occlusion, or microembolization of thrombus and/or atheromatous material.

How do you rule out unstable angina?

Tests to diagnose unstable angina can include:

  1. Electrocardiogram (EKG).
  2. Stress test.
  3. Blood tests.
  4. Echocardiogram.
  5. Coronary angiography.

Can you use beta-blockers in variant angina?

Beta-blockers can increase coronary artery spasm and cause chest pain so they are contraindicated in these patients.

What is the difference between unstable and instable?

Instability is just the noun form of unstable.

What makes a patient unstable?

According to the American Heart Association, a patient is unstable when he presents with v-tach and a pulse, and v-tach is the cause of one or more of the following: Altered mental status. Loss of consciousness. Shock.

How to diagnose unstable angina?

blood tests,to check for creatine kinase and cardiac biomarkers (troponin) that leak from your heart muscle if it’s been damaged

  • electrocardiogram,to see patterns in your heartbeats that may indicate reduced blood flow
  • echocardiography,to produce images of your heart that reveal evidence of blood flow problems
  • What is the pathophysiology of unstable angina?

    The pathophysiology of unstable angina is decreased coronary flow due to transient platelet aggregation on apparently normal endothelium, coronary artery spasm, or coronary thrombosis. Zoeken: Zoeken

    What are the different types of angina?

    Microvascular Angina. Note: If you experience severe shortness of breath,call 911 or ask someone to bring you to the emergency room (ER).

  • Stable Angina or Angina Pectoris
  • Unstable Angina or Acute Coronary Syndrome. Note: Unstable angina requires emergency care.
  • Variant (Prinzmetal) Angina or Angina Inversa.
  • What are the symptoms of the different types of angina?


  • Shortness of breath
  • Abdominal pain
  • Discomfort in the neck,jaw or back
  • Stabbing pain instead of chest pressure
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