Senda Keisuke, Tsukuda Shuma, Aizawa Katsuyuki, Suzuki Chihiro, Yasukochi Satoshi
Department of Cardiology, Aizawa Hospital, Matsumoto, JPN.
Cureus. 2024 Nov 22;16(11):e74260. doi: 10.7759/cureus.74260. eCollection 2024 Nov.
This case report describes a 15-year-old boy who presented with vasospastic angina (VSA). His symptoms included chest and back pain, nausea, and respiratory distress. After undergoing diagnostic tests, including coronary angiography and an acetylcholine provocation test, the patient was diagnosed with VSA. He responded well to the calcium channel blocker therapy and was followed up. This case highlights the importance of considering VSA in adolescent patients and the need for broader awareness among general practitioners, family doctors, and pediatricians given the increasing number of VSA cases in Japan.
本病例报告描述了一名15岁患有血管痉挛性心绞痛(VSA)的男孩。他的症状包括胸痛、背痛、恶心和呼吸窘迫。在接受包括冠状动脉造影和乙酰胆碱激发试验在内的诊断测试后,该患者被诊断为VSA。他对钙通道阻滞剂治疗反应良好并接受了随访。该病例凸显了在青少年患者中考虑VSA的重要性,以及鉴于日本VSA病例数量不断增加,全科医生、家庭医生和儿科医生需要提高对此病的广泛认识。