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coronary artery vasospasm |
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coronary artery vasospasm Acute coronary insufficiency, anterior chest wall syndrome, coronary artery spasm, coronary vasoconstriction, Prinzmetal's angina, variant angina, vasospastic angina Cardiology A condition characterized by sudden and
usually transient vasoconstriction of a coronary artery with ↓ myocardial O2 Clinical Severe, crushing, chest pain at rest and ST segment deviation Precipitating factors Emotional stress, medications, street drugs–cocaine, cold
exposure, stress, vasoconstrictors Diagnosis Normal angiogram, ST segment ↑ EKG ST segment deviation–usually ↑ without preceding ↑ in heart rate or BP Management Nitrates, nifedipine or diltiazem with aspirin; slow
CCBs–eg, verapamil, may contribute to AV block. Cf Angina pectoris. How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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Therefore, I hypothesize that the ECT-induced seizure that this patient experienced resulted in significant autonomic dysfunction, producing coronary artery vasospasm and subsequent myocardial ischemia. Migranal Nasal Spray should not be given to patients with ischemic heart disease (angina pectoris, history of myocardial infarction, or documented silent ischemia) or to patients who have clinical symptoms or findings consistent with coronary artery vasospasm, including Prinzmetal's variant angina. 45 should not be given to patients with ischemic heart disease (angina pectoris, history of myocardial infarction, or documented silent ischemia) or to patients who have clinical symptoms or findings consistent with coronary artery vasospasm, including Prinzmetal's variant angina. |
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