Adölesanlarda varyant anjina: Kardiyak bilgisayarlı tomografinin kullanımı ve literatür taraması
Göğüs ağrısı çocuklarda ve özellikle de adölesanlarda sık bir şikâyet olup çoğunlukla kalp dışı nedenlidir. Varyant anjina çocuklarda nadir görülen kalp kaynaklı göğüs ağrısı nedenlerinden birisidir. Varyant anjina erişkinlerde iyi tanımlanmış olmasına rağmen, adölesanlardaki göğüs ağrısının nadir bir nedenidir. Bu makalede varyant anjina tanısı konulan üç adölesan bildirilmiş olup varyant anjinanın tanısında kardiyak bilgisayarlı tomografinin kullanımı ve tedavisi literatür eşliğinde ayrıntılı olarak tartışılmıştır.
Variant angina in adolescents: The use of cardiac computed tomography and review of the literature
Chest pain is a frequent complains in children and especially in adolescents which is most likely non-cardiac in origin. Variant angina (VA) is a rare cause of cardiac originated chest pain in children. Although it is well documented in adults, (VA) is a rare cause of chest pain in adolescents. Three adolescents with variant angina were reported in this article and the use of cardiac computed tomography in the diagnosis and treatment strategies were discussed detailed in company with the literature.
___
- Lu JC, Bansal M, Behera SK, et al. Development of
quality metrics for ambulatory pediatric cardiology:
Chestpain. Congenit Heart Dis 2017; 12: 751-5.
- Kane DA, Friedman KG, Fulton DR, Geggel RL, Saleeb
SF. Needles in Hay II: Detecting Cardiac Pathology by
the Pediatric Chest Pain Standardized Clinical
Assessment and Management Plan. Congenit Heart Dis
2016; 11: 396-402.
- Kim HL, Lee SH, Kim J, et al. Incidence and risk factors
associated with hospitalization for variant angina in
Korea. Medicine (Baltimore) 2016; 95: e3237.
- Wang AC, Chen SJ, Lee PC, Hwang BT, Tsai MC. Variant
angina in an adolescent coexisting with intermitten
Wolff-Parkinson-White syndrome. Am J EmergMed
2008; 26: 968.e5-7.
- Jefferies JL, Treistman B. Prinzmetal angina in a
teenage girl. Pediatr Cardiol 2005; 26: 486-7.
- Holt DB, Singh GK, Rhee EK, Billadello J, Ludomirsky A.
Images in cardiovascular medicine. Prinzmetal angina
in an adolescent: adjunctive role of tissue
synchronization imaging. Circulation 2005; 112: e91-2.
- Li JJ, Chu JM, Zhang CY. Variant angina in a 17-year-old
male. Acta Cardiol 2005; 60: 69-71.
- Karaaslan S, Baysal T, Başpinar O, Oran B. Adolescent
with variant angina. Pediatr Int 2003; 45: 478-80.
- Ivy D, Kaye J, Flitter D, Wiggins J. Variant angina in an
adolescent. Pediatr Cardiol 1994; 15: 45-7.
- Prinzmetal M, Kennamer R, Merliss R, Wada T, Bor N.
A variant form of angına pectoris. Am J Med1959; 27:
375–88.
- Yasue H. Pathophysiology and treatment of coronary
arterial spasm. Chest 1980; 78: 216-23.
- Parodi O, Uthurralt N, Severi S, et al. Transient
reduction of regional myocardial perfusion during
angina at rest with ST-segment depression or
normalization of negative T waves. Circulation 1981;
63: 1238-47.
- Gersh BJ, Braunwald E, Rutherford JD. Prinzmetal’s
variant angina. In: Braunwald E (ed.). Braunwald Heart
Disease . WB Saunders Company, Philadelphia, 1997;
1340–3.
- Szymczyk K, Polguj M, Szymczyk E, Majos A, Grzelak
P, Stefańczyk L. Prevalence of congenital coronary
artery anomalies and variants in 726 consecutive
patients based on 64-slice coronary computed
tomography angiography. Folia Morphol (Warsz).
2014; 73: 51-7.