Key result
Provocative spasm testing in MINOCA is safe and identifies a high-risk subset when positive.
Why the study?
Does a positive invasive coronary provocative test for spasm safely identify a high-risk subset in patients presenting with MINOCA and suspected coronary vasomotor abnormalities?
Does a positive invasive coronary provocative test for spasm safely identify a high-risk subset in patients presenting with MINOCA and suspected coronary vasomotor abnormalities?
Invasive coronary provocative testing is safe and provides important prognostic value by identifying high-risk patients among those presenting with MINOCA.
May support spasm testing for risk stratification in selected MINOCA patients; leaves open whether testing improves outcomes.
We demonstrate that in patients presenting with MINOCA and suspected coronary vasomotor abnormalities, a positive provocative test for spasm is safe and identifies a high-risk subset of patients.
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Montone et al. (2017) studied this question. A positive provocative test for spasm in patients with MINOCA is safe and identifies a high-risk subset of patients.
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