Refractory vasospastic angina

Abstract

Vasospastic angina, a form of angina pectoris due to coronary artery spasm responds to nitrates and calcium antagonists in majority of the cases. Rarely, they are unresponsive to conventional treatment, and recurrent ischemia can lead to ventricular arrhythmias, myocardial infarction and sudden death. We report a patient with multi-vessel coronary artery spasm and recurrent ST segment elevation in anterior leads, which was successfully managed with intravenous administration of nicorandil