Refractory ergonovine-induced coronary vasospasm: importance of intracoronary nitroglycerin.

  title={Refractory ergonovine-induced coronary vasospasm: importance of intracoronary nitroglycerin.},
  author={A Buxton and Sheldon Goldberg and John W. Hirshfeld and John A Wilson and T M Mann and David O. Williams and Paul A Overlie and P. Oliva},
  journal={The American journal of cardiology},
  volume={46 2},
Recent experience has suggested that the ergonovine maleate test is a safe procedure for the diagnosis of variant angina pectoris, because ergonovine-induced coronary vasospasm has generally been reversible by sublingual nitroglycerin. This report describes five cases of ergonovine-induced coronary vasospasm that were refractory to sublingual nitroglycerin. Four of these patients had cardiac arrest. In two patients the vasospasm was responsive to intracoronary nitroglycerin administration… CONTINUE READING
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