Variant angina Prinzmetal angina

• Facts:
  Causes chest pain by coronary vasospasm
  MC in young females
• History / PE:
  Anginal pain at rest, esp at night
• Diagnosis:
  Transient ST elevation
  Normal cardiac enzymes
• Treatment:
  Stop smoking
  Nitroglycerin (short term)
  Calcium channel blockers (long term)
• Associated With:
  Migraine headaches
  Raynaud's phenomenon
• Risk Factors:
  Smoking