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)
Marsh CA, Benchimol A, Desser KB. Variant Angina Pectoris: Pain and Arrhythmias Controlled After Postoperative Myocardial Infarction. JAMA. 1976;235(8):833–837. doi:10.1001/jama.1976.03260340039019
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: