Doctor insights on:
Coronary Spasms In Children
Lots: Prinzmetal or "variant" angina is chest pain caused by coronary artery spasm, typically in a patient with some underlying vascular disease. Cold environment, stress, and stimulant drugs (including cocaine) can trigger spasm. Spasm in other vascular territories (such as Raynaud's phenomenon) and migraine headache are sometimes associated with spasm in the coronary arteries. ...Read more
Chest pain: This is a not a common question nor a common occurrence. In other words, spasm of the coronary arteries is not very common and the most typical symptom would be cyclical pain; also called prinzmeta's angina, due spasm of the muscle fibers of the coronary artery. Much more common is CAD from atherosclerotic blockage. ...Read more
Coronary spasms: Coronary spasm = constriction of blood flow in muscles of the arteries that supply blood flow to heart muscle. ...Read more
Printzmetal angina. Acute vasoconstriction of a coronary artery.
Multifactorial, may lead to sudden cardiac death, acute coronary syndrome, st elevation myocardial infarction, low cardiac output syndrome, pump failure to include some. Depending on severity and location of the area of the coronary that vasoconstricts, this will determine the risks of untoward events. ...Read more
Coronary spasms: To my knowledge, there is no relationship between ingesting salt and water and the relief of "coronary spasms". ...Read more
I live in a college town with many healers who use Asian treatments. Will they work on coronary spasms?
Probably not: Coronary spasm is a diagnosis which is extremely difficult to confirm. If in fact the patient really has coronary spasm, it is important to use a medication with proven effectiveness to prevent chest pain and heart attack, either a Nitroglycerin preparation or a calcium channel blocker. To my knowledge there has been no research on any other form of therapy that would demonstrate effectiveness. ...Read more
High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose coronary spasms and follow it after treatment.?
See cardiologist: First of all, why do you want to diagnose coronary spasms. I advise you to go see your board certified cardiologist for him or her to dtermine if that is even a probable diagnosis given the clinical findings and symptoms. ...Read more
Yes: Some folks have coronary arteries that are particularly spasmotic which can lead to poor blood flow to the heart (a heart attack) - also known as prinzmetal's angina. Fortunately, this is rare. Emotional stress can also cause a cardiomyopathy - known as takotsubo, which is not a heart attack per sey but can lead to many of the same symptoms. That aside, stress = high BP = increased risk of attack. ...Read more
They can: They can, tho it's not a common cause of heart attack. ...Read more
How can you tell the differance between coronary artery spasms & esophagus spasms? I was told probably coronary spasms, now im told might be the other
What conditions could cause repeated spasms/ small cramps in area around heart? Am concerned about coronary spasms, mother used to suffer from attacks
Sjogren's, coronary spasms, valve regurg. Can't have mri; have interstim device. What is myocardial perfusion study? What does it show? Ok for ist
Mapping blood vessel: Your heart cannot directly use the blood in the chambers, but must have the blood flowing through the arteries embedded in the wall/muscle of the heart itself. Perfusion study is to look at how well the muscle of the heart gets blood from these arteries. If the arteries are diseased/clogged up by atherosclerosis, the heart muscle can't get enough blood, especially on high demand. Good luck. ...Read more
They don't: The only condition where a kid would develop coronary artery disease like an older adult is progeria. This rare premature aging syndrome does have all the features of advanced age as adults & CAD is a common cause for their death in their teens. Kids can have other heart issues, but the origin and outcome are drastically different. ...Read more
Extremely rare: The only two conditions I am aware of where this is present is: the kawasaki disease where coronary aneurysms can affect some, & progeria, the rare premature aging disease. Rarely the coronary arteries can be located in the wrong place as a congenital defect, but it is a stretch to compare it with cad. Risks are the same as for adults. ...Read more
But usually for different etiologies (causes).
Most children and infants will have a cardiac arrest if they do not get enough air (oxygen) and this will cause the heart rate to decrease to a point where the heart can stop (systole) or go into an abnormal rhythm. Also cardiac defects or anatomic abnormalities from birth can do this too. The best treatment is CPR and call 911. ...Read more
Very rarely: Primary cardiac arrest (not related to choking, drowning, etc) is exceedingly rare in children but can happen. Structural problems in the heart that are present at birth can predispose to lethal rhythm problems. This is one of the arguments made to place aeds (automatic external defibrillators) in schools and gymnasiums. ...Read more
Takes a while: Cardiac MRI always requires an IV for gadolinium contrast. Mri for small children will also usually require anesthesia. The patient goes in the scanner and multiple "runs" are made to show different aspects of the cardiac anatomy and physiology. It often takes over an hour to get all the images. It can be a very helpful tool in some patients. ...Read more