Severe angina pectoris in asthma attack: a case report

Seyed Hesamedin Nabavizadeh, Nazanin Farahbakhsh, Ali Fazel, Fereshteh Mosavat, Amir Anushiravani
2016 Electronic Physician  
Asthma is a chronic inflammatory disorder of the airways related to the obstruction of reversible airflow. Asthma presents as recurrent attacks of cough and dyspnea. Poor control causes recurrent admissions to the ICU, and mortality is related to poor drug compliance and follow-up. Angina pectoris is a syndrome of recurrent chest discomfort related to myocardial ischemia. The presence of these two disorders rarely has been reported. We reported a 12-year-old boy who was referred with
more » ... n of asthma and developed angina pectoris during hospitalization. He had labored breathing and diffuse wheezing. During treatment of the asthma, the patient developed severe chest pain due to shunt formation and coronary hypoxia, caused by the sole administration of ventolin, since oxygen had been disconnected. After receiving appropriate therapy, both his asthma and angina recovered, and, to date, he has not experienced angina pectoris again.
doi:10.19082/2591 pmid:27504177 pmcid:PMC4965212 fatcat:sgcfvmbd6rbtndpwigowty462m