Diagnosis of oesophageal spasm by ergometrine provocation

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Diffuse oesophageal spasm: diagnosis by ambulatory 24 hour manometry.

BACKGROUND Diffuse oesophageal spasm (DOS) is a potential cause of intermittent chest pain and/or dysphagia. In the past, the diagnosis of DOS has relied on criteria obtained from standard oesophageal manometry (more than one simultaneous contraction in a series of 10 wet swallows with the rest being peristaltic). As symptoms are intermittent, however, 24 hour manometry may well be more suited ...

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Coronary and peripheral arterial responses to ergometrine in patients susceptible to coronary and oesophageal spasm.

Vascular responses to ergometrine were compared in groups of patients subject to coronary artery spasm, or oesophageal spasm, or neither. We measured the degree of diffuse narrowing at different coronary artery sites (not in spasm), and the rise in blood pressure. The data provide no evidence for a generalised sensitivity to alpha-adrenergic stimulation underlying either of these two clinical e...

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Oesophageal Spasm

Osgood (1889) is generally credited with the introduction of the term " diffuse spasm " of the oesophagus. However, though Moersch and Camp (1934) recorded a classical description of the clinical and radiological features of the disease it attracted little interest until the introduction of oesophageal motility studies in the 1950s. Since then a characteristic motility pattern has been describe...

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Importance of a second spasm provocation test: Four cases with an initial negative spasm provocation test

The spasm provocation test (SPT) is an important test in the diagnosis of vasospastic angina (VSA). In many cases, this test is performed as the gold standard test, and VSA is considered not present if the SPT is negative. However, some patients continue to experience chest symptoms despite a negative SPT. In this study, we report four cases in which SPT was repeated to evaluate chest symptoms ...

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Complications of Pharmacological Spasm Provocation Tests

As pharmacological spasm provocation tests, acetylcholine (ACh) [1-3] and ergonovine (ER) [4,5] are employed in the cardiac catheterization laboratory. However, we often encounter the major and minor complications during performing these procedures. As a diagnostic tool, we should perform spasm provocation tests more safely without major complications. Multiple and proximal spasm documented by ...

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ژورنال

عنوان ژورنال: Gut

سال: 1983

ISSN: 0017-5749

DOI: 10.1136/gut.24.7.683