PMID: 8609335Apr 1, 1996Paper

Ergonovine echocardiography as a screening test for diagnosis of vasospastic angina before coronary angiography

Journal of the American College of Cardiology
J K SongS J Park

Abstract

In patients with chest pain suggestive of variant angina, we performed this prospective study to test the specificity and diagnostic validity of ergonovine echocardiography (detection of regional wall motion abnormality during bedside ergonovine challenge) as a screening procedure before coronary angiography. Spasm provocation test outside the catheterization room has generally not been accepted as a safe diagnostic method. Ergonovine echocardiography was performed in 80 consecutive patients with chest pain syndrome after confirmation of negative treadmill or normal stress myocardial perfusion scan results using thallium-201. A bolus of ergonovine maleate was injected at 5-min intervals up to a total cumulative dosage of 0.35 mg with echocardiographic monitoring of left ventricular wall motion. A 12-lead electrocardiogram (ECG) was also recorded every 3 min after each ergonovine injection. Positive test results were development of regional wall motion abnormalities or transient ST segment elevation or depression >0.1 mV in any single lead of the 12-lead ECG. Coronary angiography was undertaken within 2 +/- 4 days (mean +/- SD) after ergonovine echocardiography, and the spasm provocation test with acetylcholine or ergonovine was...Continue Reading

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Citations

Apr 1, 1996·Journal of the American College of Cardiology·C J Pepine
Jun 7, 2000·Journal of the American College of Cardiology·J K SongS J Park
Jun 7, 2000·Journal of the American College of Cardiology·K K Hamilton, C J Pepine
Sep 28, 2002·Heart Disease·Jay S MeisnerWilliam H Frishman
Dec 31, 2010·World Journal of Cardiology·Alejandro CortellJosé Luis Zamorano
Mar 20, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Giampaolo NiccoliFilippo Crea
Nov 8, 2011·Annales de cardiologie et d'angéiologie·X Halna du FretayJ Viossat
Nov 13, 2001·The American Journal of Cardiology·M A NedeljkovicV Kanjuh
Nov 10, 2013·Journal of the American College of Cardiology·Melody ZayaC Noel Bairey Merz
Jun 27, 2008·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Rosa SicariUNKNOWN European Association of Echocardiography
Dec 22, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·John F BeltrameUNKNOWN Coronary Vasomotion Disorders International Study Group (COVADIS)
Jan 29, 2002·Coronary Artery Disease·A PálinkásB Ghelarducci
May 7, 2020·Journal of Clinical Medicine·Chan Soon ParkHae-Young Lee
Aug 13, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Seung Min YooEun Ju Chun
Jan 7, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Moo Hyun KimJong Seong Kim
Aug 28, 2018·Korean Circulation Journal·Jae Kwan Song

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