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Prinzmetal's angina is a condition characterized by chest pain, transient ST elevation, and negative biochemical markers of myocardial cell necrosis. We describe a case of chemically-induced "silent" ST segment elevation related to Atenolol overdose in a patient without coronary artery stenosis. We conclude that the cause for the transient myocardial ischemia is coronary vasospasm, precipitated by beta-blocker overdose.

Citation

Daniel Petrov, Svetlozar Sardowski, Margarita Gesheva. Silent' Prinzmetal's ST elevation related to atenolol overdose. The Journal of emergency medicine. 2007 Aug;33(2):123-6

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PMID: 17692760

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