Cardiovasc Imaging Asia.  2024 Jan;8(1):11-14. 10.22468/cvia.2023.00094.

Exercise-Induced Vasospastic Angina With Prominent Regional Wall Motion Abnormality

• Son BJ
• Park JI
• Nam JH
• Lee CH
• Son JW
• Kim U
• Park JS
• Choi KU

• KMID: 2553234
• DOI: http://doi.org/10.22468/cvia.2023.00094

Abstract

In vasospastic angina, exercise typically does not lead to vasoconstriction. We present the case of a patient with an atypical presentation of vasospastic angina, characterized by regional wall motion abnormalities confirmed by exercise stress echocardiography. A 58-yearold female patient presented to the hospital reporting chest pain during both exercise. During the exercise stress echocardiogram, regional wall motion abnormality was confirmed. However, the coronary angiography did not reveal significant lesions. Subsequently, ergonovine test was positive and then exercise induced vasospastic angina was diagnosed. Following medical treatment, the patient’s symptoms showed improvement. This case underscores an uncommon presentation of vasospastic angina in an individual already diagnosed with coronary artery disease, indicating that exercise stress echocardiography could serve as a valuable screening tool for specific types of vasospastic angina.

Keyword

Angina pectoris; Coronary vasospasm; Stress echocardiography; Exercise test; Coronary angiography