Case Report

20-Year Follow-up of a Patient with Coronary Artery Spasm

Authors: Elsayed Mohamed, MD, Edgar Lichstein, MD, FACC

Abstract

The authors present a 20-year follow-up of a patient with well-documented coronary artery spasm, who initially presented with syncope. The patient had excellent response to calcium channel antagonists and long-acting nitrates.


Key Points


* Coronary aretery spasm can present as syncope.


* Patients respond to treatment with calcium channel antagonist and long-acting nitrates.


* Patients can remain event-free for up to 20 years on medical management.

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