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Coronary Artery Vasospasm

Jae Kwan Song1

  • 1Department of Cardiology, Asan Medical Center Heart Institute, University of Ulsan College of Medicine, Seoul, Korea. jksong@amc.seoul.kr.

Korean Circulation Journal
|August 28, 2018
PubMed

Insights

Coronary artery vasospasm (CVS) causes myocardial ischemia and various heart conditions. Prompt diagnosis via spasm provocation tests is crucial for effective patient management.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Ischemic Heart Disease

Background:

  • Coronary artery vasospasm (CVS) is a significant cause of myocardial ischemia.
  • CVS can manifest as silent ischemia, angina, acute coronary syndrome, myocardial infarction, or sudden cardiac death.
  • Understanding CVS pathogenesis, clinical features, diagnosis, and treatment is vital.

Purpose of the Study:

  • To summarize the pathogenesis, clinical features, diagnosis, and treatment of CVS.
  • To emphasize the importance of pharmacological spasm provocation tests for accurate CVS diagnosis.
  • To advocate for increased utilization of provocative testing during coronary angiography.

Main Methods:

  • Review of literature on Coronary Artery Vasospasm (CVS).
  • Emphasis on diagnostic methods including pharmacological spasm provocation tests.
  • Integration of coronary angiography and echocardiographic monitoring for CVS detection.

Main Results:

  • Pharmacological spasm provocation tests are essential for diagnosing CVS.
  • Underutilization of these tests during coronary angiography is not justified.
  • Physician vigilance is necessary for objective CVS documentation.

Conclusions:

  • Accurate diagnosis of CVS is critical for managing ischemic heart disease.
  • Pharmacological provocation tests are underutilized but necessary.
  • Objective documentation of CVS guides appropriate patient management.

Keywords:
Coronary artery vasospasm

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