A 44 year old woman has recurrent episodes of chest pain that occur at rest in the early morning hours. During an episode, ECG shows transient ST segment elevation that resolves after nitroglycerin. Coronary angiography later shows no critical fixed stenosis. Which of the following is the most likely diagnosis?
- A)Aortic dissection
- B)NSTEMI
- C)Cardiac tamponade
- D)Stable angina
- E)Prinzmetal anginaGABARITO
Explicação
Prinzmetal angina is correct. Rest pain with transient ST elevation and no major fixed coronary obstruction indicates coronary vasospasm. Vasospastic episodes are treated with nitrates and calcium channel blockers rather than relying solely on demand reduction... Ver explicação completa e trilha adaptativa →