CORONARY SPASM IN ACUTE MYOCARDIAL-INFARCTION

A 30 year old man had an acute anterolateral myocardial infarction fol lowing which he developed unstable angina requiring percutaneous trans luminal coronary angioplasty. He subsequently developed further angina with recurrence of coronary artery lesions that were reversed by intr acoronary nitrate. A diagnosis of prinzmetal (vasospastic) angina was made and this had been the apparent cause of his myocardial infarction . Be was treated with a calcium antagonist and an oral long acting nit rate with resolution of symptoms. He remained well and symptom free, a nd was reviewed in the outpatient clinic six weeks after discharge wit hout problems.