Datasheet1_Case Report: Vasospastic angina presenting as phantom odor perception.pdf

BackgroundVasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors.Case summaryA 69-year-old woman presented for evaluation of intermittent shortness of breath and chest pain. She reported that she often experienced an abnormal smell sensation just prior to the event. The patient had abnormal smell sensation and shortness of breath at the initiation of exercise stress echocardiography with transient electrocardiographic changes and new regional wall motion abnormalities. Subsequent invasive coronary angiography showed no obstructive epicardial coronary artery disease. The patient was started on calcium channel blocker therapy with resolution of symptoms.ConclusionPhantom odor perception has been rarely reported as an angina-equivalent symptom. Clinicians should have a high index of suspicion in patients presenting with atypical anginal symptoms.

背景信息：血管痉挛性心绞痛通常表现为胸部疼痛的间歇性发作。极少数情况下，患者可能伴有幻嗅的感知。病例摘要：一位69岁的女性因间歇性呼吸困难及胸痛就诊。她报告称，在症状发生前常感到一种异常的气味。在运动负荷超声心动图检查启动时，患者出现了异常的气味感知、呼吸困难、暂时性的心电图改变以及新的区域性室壁运动异常。随后进行的侵入性冠状动脉造影未显示有阻塞性的冠状动脉疾病。患者开始接受钙通道阻滞剂治疗，症状得到缓解。结论：幻嗅感知作为一种心绞痛的类似症状，报道极为罕见。临床医生在面对不典型心绞痛症状的患者时，应提高警惕性。