mingle
Forum Senior
Topics: 27
Posts: 109
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just came back from reading, why does prinzmetal's angina behave different to a normal angina in that in the former you get st elevations??? just want to clarify thanks btw this is a great forum; i'm learning heaps already thanks guys
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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in prinzmetal angina there is transmural ischemia ----> ST elevation while in classical angina, ischemia is more severe in subendocardium---> ST depression
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| mingle
Forum Senior
Topics: 27
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oic thanks a lot
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| mani
Forum Guru
Topics: 104
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u r welcome
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| Lim
Forum Elite
Topics: 62
Posts: 210
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when a patient has Prinzmetal's angina...when he/she moves and gets up around,is pain relived or aggrevated?
KapQ says...pain improves....???
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| Leopard
Forum Guru
Topics: 30
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Actually Prinzmetal has nothing to do with exertion as such.In this condition there is definitely coronary spasm.In pretty good number of cases there might be atherosclerosis also.Typically it is a rest pain.During exercise test the ST segment may
- Elevate
- depresss
- No change at all
So Exercise tolerance test is not conclusive rather angiography with provocative tests decide its diagnsosis.
Best of luck
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