Dynamic Coronary Thrombosis: A Possible Cause of Prinzmetal's Variant Angina

Amin H. Karim, ROBERT A. CHAHINE, ALBERT E. RAIZNER

Research output: Contribution to journalArticle

Abstract

Two patients presented with features typical of Prinzmetal's variant angina: recurrent episodes of chest discomfort at rest associated with transient ST segment elevation. Episodes of recurrent ischemia persisted despite treatment with intravenous nitroglycerin. Coronary arteriography disclosed a high grade stenotic lesion and intracoronary thrombus in both patients. Coronary spasm was not demonstrated. These observations suggest that “dynamic thrombosis” may have a more important role than heretofore recognized in some patients with Prinzmetal's variant angina.

Original languageEnglish (US)
Pages (from-to)27-32
Number of pages6
JournalJournal of Interventional Cardiology
Volume3
Issue number1
DOIs
StatePublished - 1990

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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