A 26-year-old female with idiopathic moyamoya disease developed chest pain with concomitant ST depression on electrocardiography. Coronary angiography detected no stenotic lesions in the epicardial coronary arteries. The clinical diagnosis was vasospastic angina pectoris. She was medicated with calcium antagonists, which reduced the frequency of chest pain episodes. Angina pectoris is a rare occurrence in young patients with moyamoya disease. Coronary artery disease and moyamoya disease may have common etiological factors.
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Univ Colorado, Sch Med, Aurora, CO 80045 USAUniv Colorado, Sch Med, Aurora, CO 80045 USA
Reardon, Lindsay
Maree, Andrew O.
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Boston Med Ctr, Dept Med, Boston, MA 02114 USA
Massachusetts Gen Hosp, Boston, MA 02114 USAUniv Colorado, Sch Med, Aurora, CO 80045 USA
Maree, Andrew O.
de Moor, Michael
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MassGeneral Hosp Children, Pediat Cardiol, Boston, MA 02114 USA
Harvard Med Sch, CRPS 510, Boston, MA 02114 USAUniv Colorado, Sch Med, Aurora, CO 80045 USA