Angina Simultaneously Diagnosed with the Recurrence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

被引：0

作者：

Li, Koki ^{[1
,2
]}

Otsuka, Yuki ^{[1
]}

Nakano, Yasuhiro ^{[1
]}

Omura, Daisuke ^{[1
]}

Hasegawa, Kou ^{[1
]}

Obika, Mikako ^{[1
]}

Ueda, Keigo ^{[1
]}

Kataoka, Hitomi ^{[1
]}

Otsuka, Fumio ^{[1
]}

机构：

[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gen Med, Okayama 7008558, Japan

[2] Okayama Univ Hosp, Ctr Grad Med Educ, Okayama 7008558, Japan

来源：

DIAGNOSTICS | 2021年 / 11卷 / 03期

关键词：

chronic fatigue syndrome; endothelial dysfunction; microvascular angina; myalgic encephalomyelitis; vasospastic angina;

D O I：

10.3390/diagnostics11030460

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) mainly affects young adults and can have a potential impact on social functioning. As this syndrome is associated with endothelial dysfunction, the heart can be damaged via ischemia due to endothelial damage. This might potentially lead to heart failure, which accounts for approximately 20% of deaths among patients with ME/CFS. While cardiac ischemia is thought be a pathophysiologically important manifestation of this syndrome, this is not yet reported. Herein, we present a case of a young female with newly diagnosed vasospastic or microvascular angina and concurrent exacerbation of ME/CFS severity. Her anginal symptoms, including exertional chest pain and transient chest discomfort, mimicked those of ME/CFS but were relieved after the administration of a calcium channel blocker. We emphasize the possibility of concurrent angina and exacerbation of ME/CFS and the importance of detecting cardiac ischemia to avoid unfavorable outcomes.

引用

页数：6

共 24 条

[1]

Amiya Eisuke, 2014, Ann Vasc Dis, V7, P109, DOI 10.3400/avd.ra.14-00048

[2] Two age peaks in the incidence of chronic fatigue syndrome/myalgic encephalomyelitis: a population-based registry study from Norway 2008-2012 [J].