Cervical Angina: A Rare Entity

Abstract

A 39-year-old female was admitted with history of cervical radiculopathy for prolapse intervertebral disc surgery. Pre-surgical check-up was uneventful. There was no history of hypertension, diabetes mellitus or ischemic heart disease in past. Her blood investigations, electrocardiogram (ECG) and echocardiography, all were within normal limits. Post-operative within 2−3 h, she developed severe angina with gross ST-T changes in anterior leads. Immediately, her Troponin I and echocardiography were done, which were within normal limits. She was treated with IV nicorandil, antiplatelets and statin. She responded to treatment, and subsequently, her serial Trop I and echo were normal. ECG changes gradually reverted to normal in next 3−4 days and she was discharged in stable condition on day 5. Her further workup for angina revealed normal coronaries on conventional angiography. She fits into typical case of cervical angina one of the rare entities.