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Measurement of Myocardial Lactate Production for Diagnosis of Coronary Microvascular Spasm
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September 17, 2021
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Myocardial lactate production (coronary arterial-venous difference in serum lactate level) during coronary spasm provocation testing is considered as a highly sensitive marker that reflects acetylcholine-induced myocardial ischemia due to microvascular spasm. This article presents the procedures to assess myocardial lactate production for the diagnosis of coronary microvascular spasm.
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Myocardial Lactate ProductionCoronary Microvascular SpasmAch-provocation TestingVasospastic AnginaMicrovascular AnginaCoronary AngiographyAcetylcholineBlood Gas AnalysisLactate MeasurementCoronary Sinus CatheterJudkins Left CatheterAmplatz Left CatheterAnticoagulationVenous SheathArterial SheathUltrasound Guidance
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Takahashi, J., Suda, A., Yasuda, S., Shimokawa, H. Measurement of Myocardial Lactate Production for Diagnosis of Coronary Microvascular Spasm. J. Vis. Exp. (175), e62558, doi:10.3791/62558 (2021).
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