RT Journal Article
SR Electronic
T1 Nocturnal diaphoresis and coronary artery spasm
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 515
OP 518
VO 54
IS 6
A1 Becker, Richard C.
A1 Giuliani, Michael
A1 Alpert, Joseph S.
YR 1987
UL http://www.ccjm.org/content/54/6/515.abstract
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.