Skip to main content
SpringerLink
Log in

Significance of intravascular ultrasound and exercise stress echocardiography in diagnosis of exercise-induced vasospastic angina at the site of moderate stenosis

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

Recently, exercise-induced spastic coronary artery occlusion at the site of moderate stenosis, which Prinzmetal’s angina or cardiac syndrome X does not cover, was reported. Multi-modality imaging is important for the diagnosis of coronary artery disease with a complex ischemic mechanism. However, the previous report did not include findings from intracoronary imaging at the site of moderate coronary stenosis. We report a case of exercise-induced vasospastic angina at the site of moderate stenosis, where multi-modality imaging, including exercise stress echocardiography and intravascular ultrasound, was utilized to make a definitive diagnosis and investigate underlying causes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Specchia G, de Servi S, Falcone C, et al. Coronary arterial spasm as a cause of exercise-induced ST-segment elevation in patients with variant angina. Circulation. 1979;59:948–54.

    Article  CAS  PubMed  Google Scholar 

  2. Yilmaz A, Hill S, Schäufele T, et al. Exercise-induced spastic coronary artery occlusion at the site of a moderate stenosis: neither Prinzmetal’s angina nor cardiac syndrome X but “Prinzmetal X”. Circulation. 2010;122:e570–4.

    Article  PubMed  Google Scholar 

  3. Robertson RM, Wood AJ, Vaughn WK, et al. Exacerbation of vasotonic angina pectoris by propranolol. Circulation. 1982;65:281–5.

    Article  CAS  PubMed  Google Scholar 

  4. Yasue H, Omote S, Takizawa A, et al. Circadian variation of exercise capacity in patients with Prinzmetal’s variant angina: role of exercise-induced coronary arterial spasm. Circulation. 1979;59:938–48.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba, 279-0001, Japan

    Makio Muraishi, Kentaro Shibayama, Masahiko Noguchi, Hiroyuki Watanabe & Kotaro Obunai

Authors
  1. Makio Muraishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kentaro Shibayama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Masahiko Noguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hiroyuki Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kotaro Obunai
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kentaro Shibayama.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethical statements

Additional informed consent was obtained from all patients for which identifying information is included in this article.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Muraishi, M., Shibayama, K., Noguchi, M. et al. Significance of intravascular ultrasound and exercise stress echocardiography in diagnosis of exercise-induced vasospastic angina at the site of moderate stenosis. J Med Ultrasonics 45, 315–317 (2018). https://doi.org/10.1007/s10396-017-0815-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-017-0815-4

Keywords

Search

Navigation