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Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina

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Stress Echocardiography

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Abstract

Coronary artery spasm has been considered 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 also been 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. Since 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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Authors and Affiliations

  1. Echocardiography Laboratory, Asan Medical Center, Cardiology University of Ulsan, College of Medicine, Seoul, South Korea

    Jae-Kwan Song MD

  2. CNR Pisa, Ist. Fisiologia Clinica, Via Moruzzi 1, Pisa, 56124, Italy

    Eugenio Picano MD, PhD

Authors
  1. Jae-Kwan Song MD
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  2. Eugenio Picano MD, PhD
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Table of Contents Video Companion

Table of Contents Video Companion

  • See stress echo primer, cases 13 to 16.

  • See also, in the section “Illustrative cases: case number 12” (by Jae-Kwan Song, MD, Seoul, South Korea).

  • See also in selected presentations: Vasospasm in the echo lab: witches are back.

  • Springer Extra Materials available at http://extras.springer.com/2015/978-3-319-20957-9

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Song, JK., Picano, E. (2015). Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina. In: Stress Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-20958-6_16

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  • DOI: https://doi.org/10.1007/978-3-319-20958-6_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20957-9

  • Online ISBN: 978-3-319-20958-6

  • eBook Packages: MedicineMedicine (R0)

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