[An XXXX -induced vasospasm as the form of presentation of variant angina].

@entity1 @entity662 @entity296 @entity1242 @entity1425 @entity951 @entity741 @entity460
A 41-year-old- @entity1 without previous @entity741 , developed a severe anaphylactic reaction. After administration of @entity1425 (0.5 mg) the @entity1 complained of @entity662 . The electrocardiogram showed an elevation of ST segment in inferior leads. @entity296 was ruled out. Coronary arteriography disclosed normal coronary arteries. Eight months later, the @entity1 developed severe @entity662 during physical activity. ST elevation was again seen in inferior leads. ECG changes disappeared, when sublingual @entity1242 was administered. A diagnosis of @entity951 was made. Exercise test was negative, during treatment with @entity460 -blocking agents. The @entity1 subsequently remain free of symptoms taking medication. The physiological mechanisms of @entity951 and precipitating factors are discussed.
