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Updated: Jun 28, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
[A woman with anginal symptoms and normal coronary arteries]
M A Asselman1, S W Westra, F W A Verheugt
1Universitair Medisch Centrum St Radboud, afd. Cardiologie, 670, Hartlongcentrum, Postbus 9101, 6500 HB Nijmegen.
Abstract:
Angina pectoris is usually the first manifestation ofischaemic heart disease. Men are more often affected than women, but women are often denied the full diagnostic work-up of ischaemic heart disease. A 58-year-old woman had typical angina, positive exercise electrocardiography and a negative coronary arteriogram: syndrome X. She was treated with a beta blocker, aspirin, a statin and an angiotensin-converting enzyme (ACE) inhibitor, and eventually obtained relief of her symptoms.
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