AI Article Synopsis
- Coronary spasm is the tightening of the heart's main arteries, leading to reduced blood flow and potential heart damage.
- The ergonovine test during angiography is the main way to diagnose this condition, along with stress echocardiography that involves an ergonovine injection.
- A patient with chest pain and shortness of breath had normal coronary arteries, but the stress echocardiography revealed temporary severe issues with the heart's mitral valve.
Article Abstract
Coronary spasm is a constriction of the epicardial coronary arteries that produces myocardial ischemia. It is considered the main mechanism of the dynamic coronary artery stenosis. The standard method for diagnosing coronary spasm is the ergonovine test during diagnostic coronary angiography. Another test currently used is stress echocardiography with intravenous ergonovine injection. We present the case of a patient with angina, acute pulmonary edema and normal angiographic coronary arteries in which stress echocardiography with ergonovine demonstrated transient severe mitral regurgitation.
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| http://dx.doi.org/10.1016/s0300-8932(02)76699-2 | DOI Listing |
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