Journal
INTERNATIONAL JOURNAL OF CARDIOLOGY
Volume 181, Issue -, Pages 389-398Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2014.12.047
Keywords
Coronary artery spasm; Coronary atherosclerosis; Ergonovine; Intracoronary acetylcholine; Prinzmetal's variant angina; Sudden death
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The pathogenesis, clinical features, diagnosis, and treatment of spasm of epicardial coronary arteries are reviewed briefly, especially with regard to some issues that remain controversial. For diagnosis, emphasis is placed on the need for objective observations during an attack, even if that requires an attempt at pharmacologic provocation during coronary arteriography, or during echocardiography when prior arteriography has demonstrated the absence of severe coronary stenosis. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
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