Petrov D, Sardowski S, Gesheva M. ‘Silent’ Prinzmetal’s ST Elevation Related to Atenolol Overdose.
J Emerg Med 2007;
33:123-6. [PMID:
17692760 DOI:
10.1016/j.jemermed.2007.02.028]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2005] [Revised: 08/17/2006] [Accepted: 11/11/2006] [Indexed: 11/30/2022]
Abstract
Prinzmetal's angina is a condition characterized by chest pain, transient ST elevation, and negative biochemical markers of myocardial cell necrosis. We describe a case of chemically-induced "silent" ST segment elevation related to Atenolol overdose in a patient without coronary artery stenosis. We conclude that the cause for the transient myocardial ischemia is coronary vasospasm, precipitated by beta-blocker overdose.
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