Pericarditis as a trigger for Prinzmetal angina - a case report
Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with...
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| Veröffentlicht in: | Journal of medicine and life 2021-12, Vol.14 (6), p.853-861 |
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| description | Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition. |
| doi_str_mv | 10.25122/jml-2021-0061 |
| format | Article |
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E-mail: h1a1sheyban@gmail.com, sheybani@shmu.ac.ir https://orcid.org/0000-0003-1632-0511 ; Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran ; Shahid Akbar-Abadi Clinical Research Development Unit, Iran University of Medical Science, Tehran, Iran</creatorcontrib><description>Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition.</description><identifier>ISSN: 1844-122X</identifier><identifier>EISSN: 1844-3117</identifier><identifier>DOI: 10.25122/jml-2021-0061</identifier><identifier>PMID: 35126758</identifier><language>eng</language><publisher>Romania: Carol Daila University Foundation</publisher><subject>Adult ; Angina ; Angina Pectoris, Variant - diagnostic imaging ; Angina Pectoris, Variant - drug therapy ; Case Report ; Case reports ; Chest Pain - diagnosis ; Chest Pain - etiology ; Electrocardiography ; Emergency medical care ; Humans ; Male ; Medical imaging ; Myocardial Infarction ; Pericarditis ; Pericarditis - diagnostic imaging ; Pericarditis - drug therapy ; Veins & arteries</subject><ispartof>Journal of medicine and life, 2021-12, Vol.14 (6), p.853-861</ispartof><rights>2021 JOURNAL of MEDICINE and LIFE.</rights><rights>Copyright Carol Daila University Foundation Nov/Dec 2021</rights><rights>2021 JOURNAL of MEDICINE and LIFE 2021</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3001-bd6e4986a46c9327226aa9f54b88a210c1914501c4e3564a690c9158152ccc6c3</citedby><cites>FETCH-LOGICAL-c3001-bd6e4986a46c9327226aa9f54b88a210c1914501c4e3564a690c9158152ccc6c3</cites><orcidid>0000-0003-1632-0511</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811664/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811664/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35126758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheibani, Hossein</creatorcontrib><creatorcontrib>Javedani Masroor, Mojgan</creatorcontrib><creatorcontrib>Hossein Sheibani, Shahroud University of Medical Sciences, Shahroud, Iran. E-mail: h1a1sheyban@gmail.com, sheybani@shmu.ac.ir https://orcid.org/0000-0003-1632-0511</creatorcontrib><creatorcontrib>Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran</creatorcontrib><creatorcontrib>Shahid Akbar-Abadi Clinical Research Development Unit, Iran University of Medical Science, Tehran, Iran</creatorcontrib><title>Pericarditis as a trigger for Prinzmetal angina - a case report</title><title>Journal of medicine and life</title><addtitle>J Med Life</addtitle><description>Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition.</description><subject>Adult</subject><subject>Angina</subject><subject>Angina Pectoris, Variant - diagnostic imaging</subject><subject>Angina Pectoris, Variant - drug therapy</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Chest Pain - diagnosis</subject><subject>Chest Pain - etiology</subject><subject>Electrocardiography</subject><subject>Emergency medical care</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Myocardial Infarction</subject><subject>Pericarditis</subject><subject>Pericarditis - diagnostic imaging</subject><subject>Pericarditis - drug therapy</subject><subject>Veins & arteries</subject><issn>1844-122X</issn><issn>1844-3117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpVkE1LAzEQhoMoVmqvHmXB89ZMvpq9KFL8goI9KHgLaZpdU7a7dbIV9Neb2lo0DCQwz7wZHkLOgA6ZBMYuF8s6Z5RBTqmCA3ICWoicA4wOd-8EvfbIIMYFTUdIpRQ_Jj2eptVI6hNyPfUYnMV56ELMbKqsw1BVHrOyxWyKofla-s7WmW2q0NgsT4Sz0WfoVy12p-SotHX0g93dJy93t8_jh3zydP84vpnkjlMK-WyuvCi0skK5grMRY8raopRiprVlQB0UICQFJzyXSlhVUFeA1CCZc0453idX29zVerb0c-ebDm1tVhiWFj9Na4P532nCm6naD6M1gFIiBVzsArB9X_vYmUW7xibtbJjiUFANjCdquKUctjGiL_c_ADU_zk1ybjbOzcZ5Gjj_u9ce_zXMvwGVanst</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Sheibani, Hossein</creator><creator>Javedani Masroor, Mojgan</creator><general>Carol Daila University Foundation</general><general>Carol Davila University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1632-0511</orcidid></search><sort><creationdate>20211201</creationdate><title>Pericarditis as a trigger for Prinzmetal angina - a case report</title><author>Sheibani, Hossein ; Javedani Masroor, Mojgan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3001-bd6e4986a46c9327226aa9f54b88a210c1914501c4e3564a690c9158152ccc6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Angina</topic><topic>Angina Pectoris, Variant - diagnostic imaging</topic><topic>Angina Pectoris, Variant - drug therapy</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Chest Pain - diagnosis</topic><topic>Chest Pain - etiology</topic><topic>Electrocardiography</topic><topic>Emergency medical care</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Myocardial Infarction</topic><topic>Pericarditis</topic><topic>Pericarditis - diagnostic imaging</topic><topic>Pericarditis - drug therapy</topic><topic>Veins & arteries</topic><toplevel>online_resources</toplevel><creatorcontrib>Sheibani, Hossein</creatorcontrib><creatorcontrib>Javedani Masroor, Mojgan</creatorcontrib><creatorcontrib>Hossein Sheibani, Shahroud University of Medical Sciences, Shahroud, Iran. E-mail: h1a1sheyban@gmail.com, sheybani@shmu.ac.ir https://orcid.org/0000-0003-1632-0511</creatorcontrib><creatorcontrib>Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran</creatorcontrib><creatorcontrib>Shahid Akbar-Abadi Clinical Research Development Unit, Iran University of Medical Science, Tehran, Iran</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medicine and life</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheibani, Hossein</au><au>Javedani Masroor, Mojgan</au><aucorp>Hossein Sheibani, Shahroud University of Medical Sciences, Shahroud, Iran. E-mail: h1a1sheyban@gmail.com, sheybani@shmu.ac.ir https://orcid.org/0000-0003-1632-0511</aucorp><aucorp>Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, Iran</aucorp><aucorp>Shahid Akbar-Abadi Clinical Research Development Unit, Iran University of Medical Science, Tehran, Iran</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pericarditis as a trigger for Prinzmetal angina - a case report</atitle><jtitle>Journal of medicine and life</jtitle><addtitle>J Med Life</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>14</volume><issue>6</issue><spage>853</spage><epage>861</epage><pages>853-861</pages><issn>1844-122X</issn><eissn>1844-3117</eissn><abstract>Prinzmetal angina is one of the causes of acute coronary syndromes, the exact etiology of which is still unknown. Here we introduce a 27-year-old man with no history of cardiovascular disease, with a history of hospitalization due to acute pericarditis in the previous month, who was discharged with a good response to ibuprofen treatment but had clinical and electrocardiographically recurrence of pericarditis with compressive retrosternal chest pain and electrocardiogram (ECG) changes in favor of acute infero-postero-right ventricular (RV) myocardial infarction (MI). Treatment with vasodilator improved compressive retrosternal chest pain and reversed acute myocardial infarction changes completely and left pleuritic chest pain and pericarditis changes in the ECG. Due to the typical chest pain, he was admitted to the emergency room; ECG revealed generalized ST-segment elevation with acute pericarditis pattern again. Acute infero-posterior and right ventricular acute myocardial infarction pattern was also evident. After treatment with nitroglycerin in the Critical Cardiac Unit (CCU), all ECG ischemic changes returned to baseline, and pericarditis remained in all leads. The patient was discharged with non-steroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and a good general condition.</abstract><cop>Romania</cop><pub>Carol Daila University Foundation</pub><pmid>35126758</pmid><doi>10.25122/jml-2021-0061</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1632-0511</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Angina Angina Pectoris, Variant - diagnostic imaging Angina Pectoris, Variant - drug therapy Case Report Case reports Chest Pain - diagnosis Chest Pain - etiology Electrocardiography Emergency medical care Humans Male Medical imaging Myocardial Infarction Pericarditis Pericarditis - diagnostic imaging Pericarditis - drug therapy Veins & arteries |
| title | Pericarditis as a trigger for Prinzmetal angina - a case report |
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