Spasm of the coronary arteries appears angina attacks. This severe pain behind the breastbone. Coronary artery spasm is rare - only about 2% of all cases of angina options.
If an ordinary angina triggered by stress, physical exertion or palpitations, spasm rolls alone at night or early in the morning. This is very painful.
Such spasms are called Prinzmetal angina after an American cardiologist Myron Prinzmetal who identified this type of angina in 1959.
The peculiarity of this angina that does not overlap the artery plaque, but simply spazmiruyutsya. This is a temporary narrowing of the arteries.
Prinzmetal angina is often associated with other diseases where spazmiruyutsya artery: migraine, Raynaud's syndrome.
During an attack of angina pectoris about this 40% people lose consciousness, because the spasm often leads to disruption of the heart rate.
The point is not often in cholesterol, and smoking
Most people with spastic angina have any signs of atherosclerosis in the coronary arteries. That is nowhere such a spasm is still not the case. By itself, the blood cholesterol or high blood pressure is not considered a serious risk factor for coronary artery spasm. The worst risk to those people who are smoking. Another dangerous different stimulants, alcohol, drugs for migraine, drops and tablets from the common cold, which has vasoconstrictor components.
It is an interesting variant of this angina associated with allergies. Allergies, much depends on the biologically active substance histamine. That is why allergy is treated with antihistamines. So histamine can trigger a spasm of the coronary arteries. There is even the term "allergic angina."
magnesium deficiency
More Prinzmetal angina associated with magnesium deficiency. This is clear. Magnesium deficiency leads to increased blood pressure and vascular spasm. Even conduct the study when during testing time with provocative drugs were added magnesium, and patients get better. Magnesium has not officially approved for the treatment of coronary artery spasm, so do not ask for it from the doctor, and do not attempt to do so treated.
What You Should Know
Diagnosis and treatment of spastic angina is very different from the usual diagnosis and treatment of angina pectoris. Therefore, people with similar symptoms should definitely turn to a cardiologist. Yourself trying to be treated can not be, because some popular drugs for pressure or angina may conversely worsen spasm.
There is still important to remember statins. They are prescribed for angina Prinzmetal. I've always said that we should not get hung up on cholesterol. In the case of coronary artery spasm statins do not act on atherosclerosis and on the vascular wall. They prevent spasm. Therefore, do not throw statins without consulting a cardiologist.
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