Does a Negative Ergonovine Provocation Test Truly Predict Freedom from Variant Angina?
Korean Circulation Journal
; : 199-203, 2013.
Article
in En
| WPRIM
| ID: wpr-34362
Responsible library:
WPRO
ABSTRACT
Ergonovine provocation test is known to be very sensitive for diagnosing variant angina. The patient described in this study initially presented with atypical chest pain and underwent coronary angiography and ergonovine provocation tests, which were negative. The patient was subsequently prescribed a proton pump inhibitor and prokinetics for pain relief, but then presented with acute myocardial infarction and cardiogenic shock due to coronary artery vasospasm 5 years later. This case suggests that ergonovine provocation test generates false negative results, which can lead to unwanted outcomes. Even with a negative ergonovine provocation test, prescription of calcium channel blockers or nitrates should be considered in patients with a clinical history suggestive of variant angina.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Shock, Cardiogenic
/
Chest Pain
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Calcium Channel Blockers
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Coronary Angiography
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Coronary Vasospasm
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Ergonovine
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Proton Pump Inhibitors
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Prescriptions
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Angina Pectoris, Variant
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Myocardial Infarction
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Korean Circulation Journal
Year:
2013
Type:
Article