HEALTH AND PUBLIC POLICY COMMITTEE*
Ergonovine provocative testing for coronary artery spasm involves intravenous infusion of ergonovine maleate (under carefully controlled circumstances) in an attempt to provoke coronary artery spasm during the evaluation of possible variant angina. A classic positive response consists of coronary arterial spasm accompanied by the elevation of at least one ST segment on the scalar electrocardiogram (1, 2). However, spasm shown by angiography can occur without accompanying ST segment elevation, and ST segment elevation may not always be accompanied by coronary artery spasm.
Ergonovine provocative testing appears to be safe in patients who have neither variant angina nor fixed coronary
HEALTH AND PUBLIC POLICY COMMITTEE*. Performance of Ergonovine Provocative Testing for Coronary Artery Spasm. Ann Intern Med. 1984;100:151–152. doi: https://doi.org/10.7326/0003-4819-100-1-151
Download citation file:
Published: Ann Intern Med. 1984;100(1):151-152.
Cardiology, Coronary Heart Disease.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use