• J. Am. Coll. Cardiol. · Jan 2014

    Review

    Provocative testing for coronary reactivity and spasm.

    • Melody Zaya, Puja K Mehta, and C Noel Bairey Merz.
    • Barbra Streisand Women's Heart Center, Cedars-Sinai Heart Institute, Los Angeles, California.
    • J. Am. Coll. Cardiol. 2014 Jan 21; 63 (2): 103-9.

    AbstractCoronary spasm is an important and often overlooked etiology of chest pain. Although coronary spasm, or Prinzmetal's angina, has been thought of as benign, contemporary studies have shown serious associated adverse outcomes, including acute coronary syndrome, arrhythmia, and death. Definitive diagnosis of coronary spasm can at times be difficult, given the transience of symptoms. Numerous agents have been historically described for provocative testing. We provide a review of published data for the role of provocation testing in the diagnosis of coronary spasm.Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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