Prinzmetal angina is described as episodes of chest pain that occur at rest, associated with electrocardiographic changes in the ST-segment, which may or may not evolve to ischemia, and are not caused by coronary artery disease, having more recently been related to a coronary vasospasm. This diagnosis becomes especially challenging in patients who have already undergone previous percutaneous coronary procedures. We report a case of a patient diagnosed with Prinzmetal angina with a recent percutaneous coronary intervention due to coronary artery disease.
Prinzmetal angina in a patient with previous coronary artery disease.Topic review and case report
Rocha,Débora Freire Ribeiro and Amaral,Leonardo Veloso do and Borges,Pedro Arthur Ferreira and Barbosa,Flavio Passos and Nogueira,Ana Cecília Campos and Gardenghi,Giulliano. Prinzmetal angina in a patient with previous coronary artery disease.Topic review and case report. J Transcat Intervent [online]. 2021, vol.29, [cited 2026-03-06], Available from: <https://jotci.org/article/prinzmetal-angina-in-a-patient-with-previous-coronary-artery-disease-topic-review-and-case-report/>. ISSN . http://doi.org/10.31160/JOTCI202129A20210001.
Rocha,Débora Freire Ribeiro; Amaral,Leonardo Veloso do; Borges,Pedro Arthur Ferreira; Barbosa,Flavio Passos; Nogueira,Ana Cecília Campos; Gardenghi,Giulliano. Prinzmetal angina in a patient with previous coronary artery disease.Topic review and case report. J Transcat Intervent, v.29, May. 2021. Available from: <https://jotci.org/article/prinzmetal-angina-in-a-patient-with-previous-coronary-artery-disease-topic-review-and-case-report/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI202129A20210001.
Rocha,Débora Freire Ribeiro, & Amaral,Leonardo Veloso do, & Borges,Pedro Arthur Ferreira, & Barbosa,Flavio Passos, & Nogueira,Ana Cecília Campos, & Gardenghi,Giulliano. (2021). Prinzmetal angina in a patient with previous coronary artery disease.Topic review and case report. J Transcat Intervent, 29, http://doi.org/10.31160/JOTCI202129A20210001.
RochaDébora Freire Ribeiro, AmaralLeonardo Veloso do, BorgesPedro Arthur Ferreira, BarbosaFlavio Passos, NogueiraAna Cecília Campos, GardenghiGiulliano. Prinzmetal angina in a patient with previous coronary artery disease.Topic review and case report. J Transcat Intervent [Internet]. 2021 May [cited 2026 Mar 06]; 29: Available from: https://jotci.org/article/prinzmetal-angina-in-a-patient-with-previous-coronary-artery-disease-topic-review-and-case-report/. http://doi.org/10.31160/JOTCI202129A20210001.
Figure 4
Cardiac catheterization of October 30, 2020. (A) Absence of significant lesions in the left anterior descending artery. (B) Absence of significant lesions in the right coronary artery.