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February 23, 1976

Variant Angina Pectoris: Pain and Arrhythmias Controlled After Postoperative Myocardial Infarction

Author Affiliations

From the Institute for Cardiovascular Diseases, Good Samaritan Hospital, Phoenix, Ariz.

JAMA. 1976;235(8):833-837. doi:10.1001/jama.1976.03260340039019

A 30-year-old man with variant angina pectoris and ventricular arrhythmias had an angiographically demonstrable 60% obstructive lesion of the proximal left anterior descending coronary artery that was observed to progress to 100% during spasm. Control of pain and arrhythmia by pharmacologic means was unsuccessful.

Aortocoronary saphenous vein-internal mammary coronary bypass was associated with an anteroseptal wall myocardial infarction and relief from both angina pectoris and arrhythmias. It is suggested that infarction of the ischemic myocardium played a role in the successful management of this case.

(JAMA 235:833-837, 1976)