Ergonovine-provoked esophageal spasm during coronary angiography

David Lieberman, J. W. Jendrzejewski, J. H. McAnulty

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In many patients with chest pain of esophageal origin, findings are normal on routine esophageal manometry and dysmotility develops only upon provocation with ergonovine maleate. Unfortunately, ergonovine may induce myocardial ischemia in patients in whom coronary artery spasm did not occur during previous provocative testing in a cardiac laboratory - limiting its clinical usefulness. We have recorded esophageal pressure simultaneously with ergonovine infusion during angiography in ten patients without significant arterial stenoses. In two patients their usual chest pain developed associated with esophageal spasm and without changes in coronary vessels. Simultaneous performance of angiography and manometry enhanced the diagnostic yield of provocative testing by showing esophageal motility changes. This method may detect significant changes in the esophageal motility, is easy to carry out and does not interfere with angiography. It maximizes the information gained from a single provocative test and avoids the risk of ergonovine infusion outside of a cardiac laboratory.

Original languageEnglish (US)
Pages (from-to)403-408
Number of pages6
JournalWestern Journal of Medicine
Volume140
Issue number3
StatePublished - 1984

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Diffuse Esophageal Spasm
Ergonovine
Coronary Angiography
Angiography
Manometry
Chest Pain
Coronary Vessels
Esophageal Motility Disorders
Spasm
Myocardial Ischemia
Pathologic Constriction
Pressure

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lieberman, D., Jendrzejewski, J. W., & McAnulty, J. H. (1984). Ergonovine-provoked esophageal spasm during coronary angiography. Western Journal of Medicine, 140(3), 403-408.

Ergonovine-provoked esophageal spasm during coronary angiography. / Lieberman, David; Jendrzejewski, J. W.; McAnulty, J. H.

In: Western Journal of Medicine, Vol. 140, No. 3, 1984, p. 403-408.

Research output: Contribution to journalArticle

Lieberman, D, Jendrzejewski, JW & McAnulty, JH 1984, 'Ergonovine-provoked esophageal spasm during coronary angiography', Western Journal of Medicine, vol. 140, no. 3, pp. 403-408.
Lieberman, David ; Jendrzejewski, J. W. ; McAnulty, J. H. / Ergonovine-provoked esophageal spasm during coronary angiography. In: Western Journal of Medicine. 1984 ; Vol. 140, No. 3. pp. 403-408.
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