Does a negative ergonovine provocation test truly predict freedom from variant angina?

Abstract:

:Ergonovine provocation test is known to be very sensitive for diagnosing variant angina. The patient described in this study initially presented with atypical chest pain and underwent coronary angiography and ergonovine provocation tests, which were negative. The patient was subsequently prescribed a proton pump inhibitor and prokinetics for pain relief, but then presented with acute myocardial infarction and cardiogenic shock due to coronary artery vasospasm 5 years later. This case suggests that ergonovine provocation test generates false negative results, which can lead to unwanted outcomes. Even with a negative ergonovine provocation test, prescription of calcium channel blockers or nitrates should be considered in patients with a clinical history suggestive of variant angina.

journal_name

Korean Circ J

authors

Kim YG,Kim HJ,Choi WS,Im MS,Yoon CH,Suh JW,Choi DJ

doi

10.4070/kcj.2013.43.3.199

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

199-203

issue

3

eissn

1738-5520

issn

1738-5555

journal_volume

43

pub_type

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