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01-04-2008 | Case report

Multifocal spasm with acetylcholine in Prinzmetal angina

Auteurs: H. R. Michels, H. F. Baars

Gepubliceerd in: Netherlands Heart Journal | Uitgave 4/2008

Abstract

A 60-year-old female patient with Prinzmetal angina and a single non-critical (<50%) focal obstruction in the right coronary artery was referred for percutaneous coronary intervention. Coronary angiography with provocative testing using incremental doses of acetylcholine demonstrated diffuse mild vasoconstriction and multifocal hyperreactive vasoconstriction in apparently normal coronary segments but not at the site of the nonsignificant obstruction. We refrained from intervention and advised avoidance of β-blockade, and continuation of medical therapy with nitrates and calcium antagonists. (Neth Heart J 2008;16: 134-6.)

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volgende artikel An unexpected finding in a patient with haematuria

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Titel: Multifocal spasm with acetylcholine in Prinzmetal angina
Auteurs: H. R. Michels
H. F. Baars
Publicatiedatum: 01-04-2008
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 4/2008
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03086132

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