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Heart Disease  (Expert Forum)
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Spasm studies
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This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Spasm studies

by Marlene, Aug 14, 1999 12:00AM
I am scheduled for a cardiac catherization with IVUS and spasm studies in 2 weeks.  What is the procedure for spasm studies?  Does ergonovine always elicit spasm in the coronary vessels?  If the LAD does spasm how is it stopped?   Does this procedure lead to a temporary increase in angina?

by Cleveland Clinic, MD, Aug 16, 1999 12:00AM
A spasm study is performed in someone who has angina and ST-segment changes but no significant coronary artery blockages.  It is done during a heart catheterization and ergotovine is injected to elict coronary artery spasm.   There are several ways to determine spasm once ergotovine is injected.  The most common is to inject more dye and take pictures.  Newer techniques include IVUS (intravascuar ultrasound) and flow wires.  Once spasm is documented nitroglycerine can be used to reverse it regardless of location.  The increase in angina is only during the test.

I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies.  Please feel free to write back with additional questions.

If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.  The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
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