A case of coronary microvascular spasm with slow flow induced by the intracoronary acetylcholine provocation test View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-11-18

AUTHORS

Yasuhiro Tanabe, Kihei Yoneyama, Masaki Izumo, Ken Kongoji, Tomoo Harada, Yoshihiro J. Akashi

ABSTRACT

Microvascular angina is a rare condition in which myocardial ischemia is caused by microvascular dysfunction without any abnormalities of the epicardial coronary arteries. In clinical practice, it is difficult to diagnose because the microvascular alterations cannot be detected by conventional angiography. Herein we present a rare case of a 67-year-old woman with unstable angina pectoris in whom considerably slow coronary flow was induced by the acetylcholine provocation test with mild epicardial arterial spasm, suggesting the presence of microvascular spasm. Moreover, we show that β-methyl-p-[123I]-iodophenyl-pentadecanoic (123I-BMIPP) single-photon emission computed tomography imaging is useful for proving myocardial ischemia. More... »

PAGES

372-376

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12928-014-0308-y

DOI

http://dx.doi.org/10.1007/s12928-014-0308-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046037680

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25403747


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