Successful Treatment of Refractory Vasospastic Angina With Corticosteroids-Coronary Arterial Hyperreactivity Caused by Local Inflammation?-

Abstract

These findings suggest that in these patients, coronary spasm may have been induced by arterial hyperreactivity because of local inflammation in the coronary arterial wall and that the corticosteroids suppressed the arterial hyperreactivity by alleviating the inflammation. Corticosteroids may be considered as a treatment choice for patients with refractory vasospastic angina, particularly when the patient has an allergic tendency, such as bronchial asthma.