Case Report: Vasospastic angina presenting as phantom odor perception

Vasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors. A 69-year-old woman presented for evaluation of intermittent shortness of breath and chest pain. She reported that she often experienced an abnormal smell s...

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Published inFrontiers in cardiovascular medicine Vol. 11; p. 1416149
Main Authors Zubair, Haroon, Suma, Valentin, Masood, Faisal, Jan, M Fuad, Bajwa, Tanvir, Haddadian, Babak
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 04.07.2024
Subjects
Cardiovascular Medicine
case report
odor
perception
vasospastic angina
case report
odor
vasospastic angina
perception
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Summary:Vasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors. A 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. Phantom 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.
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Rajan Rehan, Royal Prince Alfred Hospital, Australia
Reviewed by: Elias Akiki, Mayo Clinic, United States
Sawan Jalnapurkar, Gadsden Regional Medical Center, United States
These authors have contributed equally to this work
Edited by: Ali Ahmad, Mayo Clinic, United States
ISSN:2297-055X
2297-055X
DOI:10.3389/fcvm.2024.1416149