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Ergometrine-provoked coronary vasospasm on angiography without angina or ischaemia on ECG. A case report.

Authors
  • Przybojewski, J Z
  • Ellis, G C
Type
Published Article
Journal
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Publication Date
Oct 20, 1984
Volume
66
Issue
16
Pages
619–622
Identifiers
PMID: 6495102
Source
Medline
License
Unknown

Abstract

A 32-year-old White man suffered a large transmural inferoposterior myocardial infarction (MI). Coronary vasospasm is strongly suspected of having caused this MI since the ergometrine maleate provocation test gave rise to severe coronary vasospasm resulting in total occlusion of the dominant right coronary artery, without angina or ECG or haemodynamic features of myocardial ischaemia. This is a most unusual response to ergometrine maleate. Possible explanations are suggested and the implications are briefly discussed.

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