Coronary artery spasm
Alternative Names
Variant angina; Angina - variant; Prinzmetal's anginaTreatment
The goal of treatment is to control chest pain and to prevent heart attack. Nitroglycerin or other nitrate medications may be prescribed to relieve chest pain. Calcium-channel blockers may be chronically needed.
Medications may also include beta-blockers. However, in some cases of variant angina, beta-blockers may be harmful (especially if used along with cocaine).
Outlook (Prognosis)
Coronary artery spasm is a chronic condition. Symptoms usually respond to treatment. This disorder may indicate a high risk for acute MI (heart attack) or potentially fatal arrhythmias. However, the prognosis is generally good if the patient is treated and avoids certain triggers.
Possible Complications
- Acute MI (heart attack)
- Arrhythmias
When to Contact a Medical Professional
Call your health care provider if crushing or heavy chest pain occurs, or if chest pain does not respond to nitroglycerin in people with a prior history of angina.
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