Stress long‐axis function in coronary artery spasm

In a patient with prior myocardial infarction who had complained of frequent angina repeat arteriograms proved normal coronary arteries. Both ECG exercise testing and thallium scanning excluded ischemia. Resting echocardiogram showed increased distal septal and right ventricular apical myocardial ec...

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Bibliographic Details
Published in:Clinical cardiology (Mahwah, N.J.) N.J.), 1999-11, Vol.22 (11), p.757-758
Main Authors: Cooke, Fiona J., Clague, Jonathan, Henein, Michael Y.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cardiotonic Agents
Cardiovascular system
coronary spasm
Dobutamine
Heart Diseases - diagnostic imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
long‐axis function
Male
Medical sciences
right ventricular function
Short Communication
Short Communications
Spasm - diagnostic imaging
stress echo
Ultrasonic investigative techniques
Ultrasonography
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Description
Summary:In a patient with prior myocardial infarction who had complained of frequent angina repeat arteriograms proved normal coronary arteries. Both ECG exercise testing and thallium scanning excluded ischemia. Resting echocardiogram showed increased distal septal and right ventricular apical myocardial echo intensity. Dobutamine stress echo demonstrated right ventricular and posteroseptal abnormalities consistent with ischemia. Repeat angiogram with ergonovine confirmed distal right coronary spasm.
ISSN:0160-9289
1932-8737
DOI:10.1002/clc.4960221120