Diagnosis and Management of Vasospastic Angina in a Young Woman Wishing to Become Pregnant

Hirohiko Aikawa; Kota Murai; Chizuko Aoki-Kamiya; Jun Yoshimatsu; Teruo Noguchi

doi:10.1016/j.jaccas.2023.102051

Diagnosis and Management of Vasospastic Angina in a Young Woman Wishing to Become Pregnant

JACC Case Rep. 2023 Dec 6:27:102051. doi: 10.1016/j.jaccas.2023.102051.

Authors

Hirohiko Aikawa^{1

2}, Kota Murai¹, Chizuko Aoki-Kamiya³, Jun Yoshimatsu³, Teruo Noguchi^{1

2}

Affiliations

¹ Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
² Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Kumamoto, Japan.
³ Department of Obstetrics and Gynecology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Abstract

Vasospastic angina can sometimes induce acute myocardial infarction in pregnant women, potentially endangering the lives of mother and child. We describe a case of a young woman with suspected vasospastic angina who wished to become pregnant. Vasospasm provocation testing revealed severe vasospasm, and subsequent appropriate management resulted in successful delivery.

Keywords: calcium-channel blockers; pregnancy; vasospasm provocation testing; vasospastic angina; young woman.

Publication types

Case Reports