Skip Navigation

European Heart Journal 1981 2(2):139-146;
Copyright © 1981 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by MARESTA, A.
Right arrow Articles by MAGNANI, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MARESTA, A.
Right arrow Articles by MAGNANI, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1981, by The European Society Of Cardiology

Ergonovine maleate test in various anginal syndromes

A. MARESTA, A. CAPUCCI, A. MARZOCCHI, R. M. FERRETTI, R. PERTICUCCI and B. MAGNANI

Department of Cardiology, University of Bologna Italy

Received 24 September 1980; .

Requests for reprints to: Aleardo Maresta. MD, Istituto di Cardiologia Dell' Universitaè di Bologna, Via Massarentin, 9, 40138 Bologna, Italy

Abstract

The ergonovine maleate (EM) test has been performed in four groups of 10 patients each: (A) variant angina; (B) angina at rest with ST segment depression during pain; (C) effort angina; (D) atypical chest i pain.

EM was injected i.v. (highest dose 0-4 mg) first in the Coronary Care Unit and thereafter during coronary angiography. EM caused coronary spasm with angina and ST segment elevation in every patient of group A and in one patient of group B.

In five and four patients of groups B and C, respectively, EM induced angina and ST segment depression without any localized coronary spasm, the coronary angiography showing only a diffuse narrowing of the coronary vessels; these patients had the lowest effort tolerance and the most severe coronary lesions.

Spontaneous or induced coronary spasm in patients with angina at rest and ST segment depression during chest pain did not occur in this study. An increase of the peripheral and/or coronary resistances due to EM could be the mechanism of the ischemic attack in patients with severe coronary lesions.

Key Words: Ergonovine test • angina • coronary spasm


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.