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Acetylcholine-induced myocardial ischemia without epicardial coronary artery spasm: a possible vasospasm of small coronary arteries--a case report. 1993
M Sekiya, and
H Okayama, and
M Suzuki, and
T Kobayashi, and
H Matsuoka, and
T Sumimoto, and
M Hamada, and
K Hiwada
Second Department of Internal Medicine, Ehime University School of Medicine, Japan.
Small-vessel vasospasm has been speculated upon as a possible cause of chest pain in patients with normal-appearing coronary angiograms. In this report, a patient who experienced typical chest pain during acetylcholine testing, which caused ST segment elevation without epicardial coronary spasm, is presented. This finding suggests that small-vessel vasospasm may be involved in the induction of myocardial ischemia in patients with normal epicardial coronary arteries.
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