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Prinz Metal Angina
lorilynn43 posted:
Hi, I was diagnosed with Variant Angina or "Prinz Metal Angina" about 13 years ago. I realize this is rare but has anyone been diagnosed with this and gotten answers? I want to know what there is out there to prevent an occurance. I feel spasms all of the time. The spasms recently caused a TIA. (mini-stroke) All they have me on is Terazosin but all of my numbers are protective. (better than normal) I am tired of feeling the spasms and not knowing how to prevent them.
cardiostarusa1 responded:

"I realize this is rare"

Prinzmetal's or variant angina (caused by coronary artery spasm, CAS) is not really rare by today's reports, more like uncommon.

"I want to know what there is out there to prevent an occurence"

Besides eliminating the known triggers (often easier said than done), calcium channel blockers (CCBs) are typcially prescribed to treat/control coronary artery spasm (CAS). Nitroglcerin (nitro) may/can be helpful as well in some individuals with CAS.

For those unfamiliar with the specific condition, coronary artery spasm (CAS) is a transient constriction or a transient total closure of a coronary artery, that may/can occur at the site of a significant blockage, or may/can occur at the site (or right near it) of a mild blockage, or where there is no visible blockage (as imaged with invasive X-ray angiography, angiogram, heart catheterization) at all.

MOST IMPORTANT: CAS may/can lead to a dreaded heart attack (myocardial infarction, MI) if/when the spasms are prolonged or are of extended-duration.

MedlinePlus - Trusted Health Information for You

Coronary artery spasm

Texas Heart Institute

Coronary artery spasm
Most important, communicate well with your doctors. Best of luck down the road of life.

Take care,


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