Vasospastic angina, a form of angina pectoris due to coronary artery spasm
responds to nitrates and calcium antagonists in majority of the cases. Rarely,
they are unresponsive to conventional treatment, and recurrent ischemia
can lead to ventricular arrhythmias, myocardial infarction and sudden death.
We report a patient with multi-vessel coronary artery spasm and recurrent
ST segment elevation in anterior leads, which was successfully managed
with intravenous administration of nicorandil.
Key words: Coronary spasm, Coronary artery disease, Vasospastic angina, Nicorandil, Imaging.