Unrecognized coronary vasospasm in patients referred for percutaneous coronary intervention: Intracoronary nitroglycerin, the forgotten stepchild of cardiovascular guidelines.
Alec VishnevskyHoward M JulienDavid L FischmanPaul WalinskyJ David OgilbyNicholas J RuggieroBabu JastiMichael P SavagePublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2017)
Coronary artery spasm is an under-recognized cause of chest pain in patients with significant angiographic lesions. Coronary spasm should be suspected especially in younger patients (less than 60 years old) with apparent single vessel disease. IC NTG should be routinely administered during diagnostic angiography and before PCI to avert unnecessary coronary interventions. © 2017 Wiley Periodicals, Inc.
Keyphrases
- coronary artery
- coronary artery disease
- end stage renal disease
- percutaneous coronary intervention
- ejection fraction
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- acute myocardial infarction
- computed tomography
- st elevation myocardial infarction
- acute coronary syndrome
- pulmonary artery
- aortic stenosis
- coronary artery bypass grafting
- st segment elevation myocardial infarction
- physical activity
- pulmonary embolism
- antiplatelet therapy
- magnetic resonance imaging
- heart failure
- patient reported outcomes
- atrial fibrillation
- blood brain barrier
- clinical practice
- transcatheter aortic valve replacement