Abstract
This case report describes a 15-year-old boy who presented with vasospastic angina (VSA). His symptoms included chest and back pain, nausea, and respiratory distress. After undergoing diagnostic tests, including coronary angiography and an acetylcholine provocation test, the patient was diagnosed with VSA. He responded well to the calcium channel blocker therapy and was followed up. This case highlights the importance of considering VSA in adolescent patients and the need for broader awareness among general practitioners, family doctors, and pediatricians given the increasing number of VSA cases in Japan.