Could Plaque Composition-Related Endothelial Dysfunction Predict Poor Prognosis in Coronary Vasospastic Angina?

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Reply: Could Plaque Composition-Related Endothelial Dysfunction Predict Poor Prognosis in Coronary Vasospastic Angina?

We read with interest the report by Ishii et al. (1) of their retrospective study in which patients with clinical suspicion of coronary vasospastic angina (CVA) underwent coronary angiography using a preset acetylcholine (ACh) protocol. Patients with positive results on ACh provocation testing were divided into 2 groups on the basis of the comorbidity of significant coronary stenosis, defined a...

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Endothelial dysfunction is an independent factor responsible for vasospastic angina.

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Coronary Vasospastic Angina: Assessment by Multidetector CT Coronary Angiography

OBJECTIVE We aimed to describe the imaging findings of multidetector CT coronary angiography (MDCTA) in cases of vasospastic angina (VA) and to determine the accuracy of MDCTA in the identification of VA as compared with invasive coronary angiography with an ergonovine provocation test (CAG with an EG test). MATERIALS AND METHODS Fifty-three patients with clinically suspected VA were enrolled...

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Morphological Characteristics of Coronary€Arteries in Patients With€Vasospastic Angina

V asospastic angina (VSA) is a variant form of angina in which chest pain typically appears without provocation, is accompanied by transient ST-segment elevation, and usually resolves spontaneously or with rapid-acting nitroglycerin. Although VSA usually occurs in angiographically normal or near-normal coronary arteries, intravascular ultrasound studies (IVUS) have demonstrated early atheroscle...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2016

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2015.12.070