医学
心脏病学
内科学
血管痉挛性心绞痛
心绞痛
麦角新碱
冠状动脉痉挛
动脉粥样硬化
心源性猝死
急性冠脉综合征
心肌梗塞
作者
Fabien Picard,Julien Adjedj,Jean‐Philippe Collet,Éric Van Belle,Jacques Monségu,Bernard Karsenty,Patrick Dupouy,Marine Quillot,Guillaume Bonnet,Alexandre Gautier,Guillaume Cayla,Hakim Benamer
标识
DOI:10.1016/j.acvd.2023.10.002
摘要
Vasospastic angina, also described as Prinzmetal angina, was first described as a variant form of angina at rest with transient ST-segment elevation; it is common and present in many clinical scenarios, including chronic and acute coronary syndromes, sudden cardiac death, arrhythmia and syncope. However, vasospastic angina remains underdiagnosed, and provocative tests are rarely performed. The gold-standard diagnostic approach uses invasive coronary angiography to induce coronary spasm using ergonovine, methylergonovine or acetylcholine as provocative stimuli. The lack of uniform protocol decreases the use and performance of these tests, accounting for vasospastic angina underestimation. This position paper from the French Coronary Atheroma and Interventional Cardiology Group (GACI) aims to review the indications for provocative tests, the testing conditions, drug protocols and positivity criteria.
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