Non-invasive Diagnosis of Vasospastic Angina

Overview

Journal J Nucl Cardiol

Specialty Cardiology & Vascular Diseases

Date 2022 Mar 24

PMID 35322379

Authors

Vincent Ngo

Anahita Tavoosi

Alexandre Natalis

Francois Harel

E Marc Jolicoeur

Robert S B Beanlands

Matthieu Pelletier-Galarneau

Affiliations

Soon will be listed here.

Abstract

Vasospastic angina (VSA), or variant angina, is an under-recognized cause of chest pain and myocardial infarction, especially in Western countries. VSA leads to a declined quality of life and is associated with increased morbidity and mortality. Currently, the diagnosis of VSA relies on invasive testing that requires the direct intracoronary administration of ergonovine or acetylcholine. However, invasive vasoreactivity testing is underutilized. Several non-invasive imaging alternatives have been proposed to screen for VSA. This review aims to discuss the strengths and limitations of available non-invasive imaging tests for vasospastic angina.

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