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Circulation. 1979;59:948-954

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Circulation, Vol 59, 948-954, Copyright © 1979 by American Heart Association

ARTICLES

Coronary arterial spasm as a cause of exercise-induced ST-segment elevation in patients with variant angina

G Specchia, S de Servi, C Falcone, E Bramucci, L Angoli, A Mussini, GP Marinoni, C Montemartini and P Bobba

Four patients with variant angina pectoris exhibited reproducible exercise-induced chest pain and ST-segment elevation. Coronary arterial spasm was documented with arteriography during exercise-induced ST- segment elevation (three patients) or after intravenous administration of ergonovine maleate (one patient). Our observations show that in patients with variant angina exercise can trigger coronary arterial spasm, thus inducing anginal pain and ST-segment elevation.


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