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Chest, Vol 77, 691-693, Copyright © 1980 by American College of Chest Physicians

ARTICLES

Prinzmetal's angina. Aternating ST-segment deviation in anterior and inferior electrocardiographic leads during the same episode of pain

D Tzivoni, HN Allen and BN Singh

A 60-year-old man had recurrent episodes of spontaneously occurring pain in the chest which were associated with ST-segment elevation consistent with Prinzmetal's angina. The simultaneous elevation of the S-T segment in anterior and inferior electrocardiographic leads with initial ST-segment depression followed by elevation in high lateral leads suggested that heightened vascular reactivity in variant angina may involve multiple coronary vessels during the same episode of vasospasm.




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Copyright © 1980 by the American College of Chest Physicians.