Major complications during spasm provocation tests with an intracoronary injection of acetylcholine.
This study sought to clarify major complications associated with acetylcholine testing. Serious major complications, such as sustained ventricular tachycardia, shock, and cardiac tamponade were determined in 4 of 715 patients (0.56%), but no cases of death or irreversible complications occurred. The spasm provocation test using acetylcholine should be performed carefully, although it is considered a safe and reliable method.
Sueda
S
S
Department of Cardiology, Saiseikai Saijo Hospital, Saijo City, Ehime Prefecture, Japan.
Saeki
H
H
Otani
T
T
Mineoi
K
K
Kondou
T
T
Yano
K
K
Ochi
T
T
Ochi
N
N
Hayashi
Y
Y
Tsuruoka
T
T
Kawada
H
H
Matsuda
S
S
Uraoka
T
T
D000109:Acetylcholine / Q000008:administration & dosage / Q000009:adverse effects*; D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000000981:diagnostic imaging; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D008875:Middle Aged; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000009:adverse effects*
D014665:Vasodilator Agents; D000109:Acetylcholine