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coronary artery spasm
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coronary artery spasm

Is it possible to have coronary artery spasms (maybe mild ones) without an increased st-elevation and/or release of cardiac enzymes?

If not, then what other types of vasospasms could cause similar symptoms with a positive pemberton's maneuver? (squeezing sensation in upper chest)  
4612161_tn?1357167128
Coronary artery spasms often cause pain while at rest and are due to squeezing of the coronary arteries.  Even if you have pain (angina) from spasms you don't always have to have elevated cardiac enzymes or EKG changes.  
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