Diana Poláková, Pavol Murín, Mikuláš Szakács
We present a 54-years old female patient with history of bronchial asthma and chronic pansinusitis, who was repetitively hospitalized with acute myocardial infarction and unstable angina pectoris. Coronarography objectivised vasospasm. A non-obstructive coronary heart disease was stated, the diagnosis of vasospastic angina pectoris was determined. The antianginal medication applied showed suboptimal results. The progressive character of coronary hyperreactivity was presented via daily reccuring, mostly nocturnal stenocardia. Since the history of chronic inflammatory disease with grounds for bronchial hyperreactivity was known, the possible influence of immunoallergic etiology in the differential diagnostic process was considered. In efforts to eliminate factors that are able to provoke coronary vasoconstriction, corticotherapy was initiated. The medication proved required effect, the withdrawal of frequent episodes of the chest pain was achieved.