PT - JOURNAL ARTICLE AU - Becker, Richard C. AU - Giuliani, Michael AU - Alpert, Joseph S. TI - Nocturnal diaphoresis and coronary artery spasm DP - 1987 Nov 01 TA - Cleveland Clinic Journal of Medicine PG - 515--518 VI - 54 IP - 6 4099 - http://www.ccjm.org/content/54/6/515.short 4100 - http://www.ccjm.org/content/54/6/515.full SO - Cleve Clin J Med1987 Nov 01; 54 AB - Coronary artery spasm may be important in a number of cardiovascular disorders including exertional angina, Prinzmetal’s angina, silent ischemia, myocardial infarction, and sudden cardiac death. Abnormalities of the autonomic nervous system may play an integral role. In a 62-year-old woman with recurrent episodes of nocturnal diaphoresis, intracoronary acetylcholine administration provoked near-total occlusion of the left anterior descending artery. Episodic parasympathetic outflow may be responsible for coronary artery spasm in some patients.