Acetylcholine-induced coronary microvascular vasospasm in a patient with angina pectoris and normal coronary angiogram--a case report

N Maeda; H Hiraoka; T Nakamura; F Matsuura; N Ouchi; A Nakata; H Kobayashi; S Yamashita; K Kameda-Takemura; Y Matsuzawa

doi:10.1177/000331979704801110

Acetylcholine-induced coronary microvascular vasospasm in a patient with angina pectoris and normal coronary angiogram--a case report

Angiology. 1997 Nov;48(11):995-9. doi: 10.1177/000331979704801110.

Authors

N Maeda¹, H Hiraoka, T Nakamura, F Matsuura, N Ouchi, A Nakata, H Kobayashi, S Yamashita, K Kameda-Takemura, Y Matsuzawa

Affiliation

¹ Second Department of Internal Medicine, Osaka University Medical School, Suita, Japan.

PMID: 9373053
DOI: 10.1177/000331979704801110

Abstract

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 microvascular vasospastic angina.

Publication types

Case Reports

MeSH terms

Acetylcholine / administration & dosage
Acetylcholine / adverse effects*
Angina Pectoris / chemically induced*
Angina Pectoris / diagnostic imaging
Angina Pectoris / physiopathology
Coronary Angiography
Coronary Vessels / diagnostic imaging
Echocardiography, Doppler
Electrocardiography
Female
Humans
Infusions, Intra-Arterial
Middle Aged

Substances

Acetylcholine