Abstract
Prinzmetal’s angina is a condition characterized by chest pain, transient ST elevation,
and negative biochemical markers of myocardial cell necrosis. We describe a case of
chemically-induced “silent” ST segment elevation related to Atenolol overdose in a
patient without coronary artery stenosis. We conclude that the cause for the transient
myocardial ischemia is coronary vasospasm, precipitated by beta-blocker overdose.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The role of insulin and glucose (hyperinsulinaemia/euglycaemia) therapy in acute calcium antagonist and beta-blocker poisoning.Toxicol Rev. 2004; 23: 215-222
- β-blocker ingestion: an evidence-based consensus guideline for out-of-hospital management.Clin Toxicol. 2005; 43 (Phila): 131-146
- Pharmacology, pathophysiology and management of calcium channel blockers and beta-blocker toxicity.Toxicol Rev. 2004; 23: 223-238
- Acute beta-blocker overdose: factors associated with the development of cardiovascular morbidity.J Toxicol Clin Toxicol. 2000; 38: 275-281
- Management of poisoning and overdose in the intensive care unit.Clin Pulm Med. 2002; 9: 213-220
- Prinzmetal’s variant angina: three case reports and a review of the literature.Acta Cardiol. 1999; 54: 71-76
- Prinzmetal’s angina.Am J Crit Care. 2004; 13: 350-354
- Electrocardiographic changes associated with beta-blocker toxicity.Ann Emerg Med. 2002; 40: 603-610
- Coronary artery spasm.in: Cheng T.O. The international textbook of cardiology. Pergamon, New York1987: 621-637
- Cocaine-induced myocardial ischemia and infarction.Prog Cardiovasc Dis. 1997; 40: 65-76
- Mechanisms whereby calcium channel antagonists may protect patients with coronary artery disease.Eur Heart J. 1997; 18: A92-A104
- Felodipine (once daily) versus nifedipine (four times daily) for Prinzmetal’s angina pectoris.Am J Cardiol. 1991; 68: 1587-1592
- Painless Prinzmetal’s ST elevation related to propranolol: a case report.Int J Cardiol. 1997; 60: 311-314
Article Info
Publication History
Published online: June 18, 2007
Accepted:
November 11,
2006
Received in revised form:
August 17,
2006
Received:
December 9,
2005
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
