Abstract
Coronary artery spasm has been considered as one of the major mechanisms causing dynamic stenosis of epicardial coronary arteries, which can evoke acute myocardial ischemia. Vasospastic angina caused by coronary artery spasm has a wide clinical spectrum: one of its typical clinical manifestations is variant angina. Coronary vasospasm has been also documented to contribute to the development of unstable angina or acute myocardial infarction [1]. Classically, coronary artery spasm is diagnosed by an invasive provocative procedure during diagnostic coronary angiography. As various noninvasive diagnostic tests for fixed atherosclerotic stenosis of epicardial coronary arteries (exercise ECG, stress echocardiography, and nuclear tests) are being used in routine daily practice, it would be useful to establish a reliable, noninvasive, and safe diagnostic method to document coronary artery spasm in the management of patients with vasospastic angina.
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Song, JK. (2003). Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina. In: Stress Echocardiography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05096-5_15
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DOI: https://doi.org/10.1007/978-3-662-05096-5_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-05098-9
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