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Quick Medical Diagnosis & Treatment Coronary Vasospasm & Angina with Normal Coronary Arteriograms Sections: Key Features, Clinical Findings, Diagnosis, Treatment. Excerpt: | | Precordial chest pain, often occurring at rest during stress or without known precipitant, relieved rapidly by nitrates
ECG evidence of ischemia during pain, sometimes with ST-segment elevation, including by Holter monitor
Angiographic demonstration of no significant obstruction of major coronary vessels
Angiographic demonstration of coronary spasm that responds to intracoronary nitroglycerin or calcium channel blockers
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