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Acetylcholine-Induced Coronary Microvascular Vasospasm in a Patient with Angina Pectoris and Normal Coronary Angiogram

A Case Report

Hisatoyo Hiraoka, MD, PhD

Tadashi Nakamura, MD, PhD

Fumihiko Matsuura, MD

Noriyuki Ouchi, MD

Atsuyuki Nakata, MD

Hitoshi Kobayashi, MD

Shizuya Yamashita, MD, PhD

Kaoru Kameda-Takemura, MD, PhD

Yuji Matsuzawa, MD, PhD

Tadashi Nakamura, MD, PhD

Second Department of Internal Medicine Osaka University Medical School 2-2, Yamadaoka, Suita Osaka 565 Japan

We demonstrated a continuous intracoronary infusion of acetylcholine-induced marked decrease of coronary blood flow estimated by intracoronary Doppler flow wire without significant epicardial coronary narrowing. This case can be called a patient with microvas cular vasospastic angina.

Angiology, Vol. 48, No. 11, 995-999 (1997)
DOI: 10.1177/000331979704801110


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