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Multivessel Coronary Artery Spasm Refractory to Intensive Medical Treatment
Tatsuhiko Asano, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
Yoshio Kobayashi, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan, yoshio.kobayashi{at}wonder.ocn.ne.jp
Masaki Ohno, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
Takashi Nakayama, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
Nakabumi Kuroda, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
Issei Komuro, MD
Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
This case report describes multivessel coronary artery spasm refractory to oral nifedipine, intravenous isosorbide dinitrate, diltiazem and nicorandil, and intracoronary nitroglycerin. Intracoronary administration of nicorandil only transiently relieved coronary artery spasm. Prednisolone was effective in preventing coronary artery spasm.
References
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This version was published on November
1, 2007
Angiology, Vol. 58, No. 5,
636-639 (2007)
DOI: 10.1177/0003319707303583

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