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Coronary Artery Spasm (Prinzmetal's Angina)

Abstract Futuristic Background

What is it?

Prinzmetal’s angina is a temporary spasm in the coronary arteries that can cause chest pain and discomfort, often occurring at rest.

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What are the symptoms?

  • Chest pain or discomfort, usually at rest

  • Pain may last for several minutes and come and go

  • Pain may be associated with shortness of breath

What else could it be? (Differential diagnosis)

  • Stable angina

  • Myocardial infarction (heart attack)

  • Gastroesophageal reflux disease (GERD)

  • Pericarditis

What are the aggravating factors?

  • Smoking

  • Drug use (particularly cocaine)

  • Stress

  • Cold weather

  • Medications that constrict blood vessels

What types of food are helpful?

  • High-fiber, low-cholesterol diet: Helps prevent artery blockages.

  • Magnesium-rich foods: To help relax blood vessels (e.g., leafy greens, almonds, bananas).

  • Avoid excessive caffeine: Can aggravate spasms.

Sample Recipe: Banana and Almond Smoothie

  • Ingredients: Banana, almond butter, almond milk, honey, ice.

  • Directions: Blend together for a magnesium-rich smoothie that helps support heart health.

What are the traditional treatments?

  • Calcium channel blockers: To relax and widen the coronary arteries.

  • Nitrates: To relieve chest pain.

  • Aspirin: To prevent blood clotting.

What are the natural and alternative treatments?

  • Omega-3 fatty acids: Help prevent artery constriction (e.g., fish oil, flaxseeds).

  • Coenzyme Q10: May improve overall heart function and reduce spasms.

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