Angina pectoris worsened by mouthwash

Abstract

We report a case of variant (Prinzmetal’s) angina pectoris in a 51-year-old man in whom coronary angiography revealed sluggish flow of contrast material. His chest pain was not controlled with standard antianginal therapy, but it resolved after discontinuation of mouthwash. This is the first case of angina pectoris reported that vastly improved after discontinuation of mouthwash.

Keywords:

• Angina pectoris
• bacteria
• chest pain
• mouthwash
• nitrate
• nitric oxide

ACKNOWLEDGMENTS

The Department of Cardiology at New York Presbyterian–Weill Cornell.