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August 9, 2018Internal MedicineOpen Access

Catheter-induced Spasm in the Proximal Right Coronary Artery

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Why the study?

What are the clinical characteristics and determinant factors for catheter-induced spasm in the proximal right coronary artery during angiography?

Population

5,296 consecutive patients who underwent diagnostic or follow-up coronary angiography during a 26-year period

Comparison

Patients with catheter-induced spasm in the… vs Patients without catheter-induced spasm in the…

Design

Cohort

Authors

SSShozo SuedaKFKaori FujimotoYSYasuhiro Sasaki

Discussion

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Overview

May prompt vigilance during RCA angiography in younger non-diabetics; hypothesis-generating and should not yet change practice.

Structured PICO

What are the clinical characteristics and determinant factors for catheter-induced spasm in the proximal right coronary artery during angiography?

P
Population
5,296 consecutive patients who underwent diagnostic or follow-up coronary angiography during a 26-year period
I
Intervention
Patients with catheter-induced spasm in the proximal right coronary artery (n=40)
C
Comparator
Patients without catheter-induced spasm in the proximal right coronary artery
O
Outcome
Determinant factors for catheter-induced spasm

Positive provoked spasm, younger age, and the absence of diabetes mellitus are significant determinant factors for catheter-induced spasm in the proximal right coronary artery.

Cite This Study

Sueda et al. (2018) studied this question.

synapsesocial.com/papers/6a8400a0e22b852b8ec51c7dhttps://doi.org/10.2169/internalmedicine.1483-18
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary spasm: Prinzmetal's variant angina vs. catheter-induced spasm; refractory spasm vs. fixed stenosis1979 · 22 citations
  2. 2Frequency of Provoked Coronary Spasms in Patients Undergoing Coronary Arteriography Using a Spasm Provocation Test Via Intracoronary Administration of Ergonovine2004 · 99 citations
  3. 3Overview of the Acetylcholine Spasm Provocation Test2015 · 69 citations