A rare clinical variant of angina manifestation as part the coronary steal syndrome in a patient with prior bilateral artery bypass grafting and subtotal brachiocephalic trunk stenosis is considered.

We have read with great interest the recently published patients with microvascular angina than in the control paper by Miwa et al. on HDL abnormalities observed in subjects (p,0.05), implying an increase in larger HDL patients with variant angina [1]. The authors noticed that particles. Interestingly, the HDL particles appeared to be high HDL cholesterol /ApoA1 levels associated with low large...

one subject with isolated, fixed coronary obstruction. Three subjects with variant angina had short episodes of ischemic ST-segment elevation that lasted 20-100 seconds. Thallium scintigrams demonstrated excess uptake in regions judged to be ischemic by angiographic and electrocardiographic criteria. Two subjects, one with variant angina and the other with a fixed coronary lesion, had prolonged...

The term coronary artery spasm (CAS) refers to a sudden, intense vasoconstriction of an epicardial coronary artery that causes vessel occlusion or near occlusion. Although CAS may be involved in other coronary syndromes, it represents the usual cause of variant angina. The variant form of angina was first described in 1959 by Prinzmetal et al,1 who used this term to indicate that angina attacks...

Prinzmetal's angina is a distinct syndrome characterized by episodes of chest pain and transient ST-segment elevation caused by coronary vasospasm. This variant form of angina is sometimes associated with complete atrioventricular block and ventricular arrhythmias. We report here a case of variant angina with documented severe heart rhythm disturbances and syncope in a 66 year-old woman. Due to...

Twenty-six patients with variant angina pectoris (VAP) were studied 1) to determine whether the degree of ST-segment elevation and R-wave changes correlate with the development of arrhythmias; and 2) to evaluate the relationship between the prevalence of arrhythmias, the severity of coronary artery disease, left ventricular function and wall motion. Serious arrhythmias were found in 12 patients...