Case report: Vasospastic angina presenting as phantom odor perception

Authors

Haroon Zubair, Advocate Health - MidwestFollow
Valentin Suma, Advocate Health - MidwestFollow
Faisal Masood, Advocate Health - MidwestFollow
M Fuad Jan, Advocate Health - MidwestFollow
Tanvir Bajwa, Advocate Health - MidwestFollow
Babak Haddadian, Advocate Health - MidwestFollow

Recommended Citation

Zubair H, Suma V, Masood F, Jan MF, Bajwa T, Haddadian B. Case Report: Vasospastic angina presenting as phantom odor perception. Front Cardiovasc Med. 2024;11:1416149. Published 2024 Jul 4. doi:10.3389/fcvm.2024.1416149

Affiliations

Aurora Sinai/Aurora St. Luke's Medical Centers

Abstract

Background:Vasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors.

Case summary: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.

Conclusion: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.

Type

Article

PubMed ID

39027001