Symptoms of prinzmetal’s angina
The main difference between stable/unstable angina and Prinzmetal’s in symptoms is the timing and the presence or absence of exertion. Prinzmetal’s angina is mainly characterized by:
♦ It usually occurs at midnight or early morning.
♦ Although it may also be precipitated by emotional stress, it is unrelated to physical exercise.
♦ It may develop several hours after alcohol intake, a feature unique to this type.
♦ Since the main pathology of variant angina is the spasm of arteries, other diseases that involve the same pathology are commonly found in such patients. The most prime example is Reynaud’s disease, a disorder where your fingers’ blood vessels constrict, causing their whitish, then bluish discoloration and pain, along with migraine headache, where its mechanism essentially involves constriction of blood vessels of the brain. Both diseases have a higher prevalence among women, and thus Prinzmetal’s is more common in females.
