Spasm is  or healthy vessels.

   One quarter have vasospastic symptoms like migraine and Raynaud’s phenomenon.

History

     Rest pain, often same time each day.

     May have classic angina pain as well.

     Often no exertional symptoms.

Diagnosis

    ST elevation during pain most diagnostic.

    Transient arrhythmia and conduction disturbances.

    Occasionally transient Q waves.

    Transient wall motion abnormality in ECHO.

    Alternate cycles of activity.

Treatment

        Calcium channel blockers most effective, particularly nifedipine. Prazosin, an alfa blocker may be effective.

        Nitrates and betablockers may be detrimental.

Myocardial hibernation and stunning

Areas of myocardium which is under perfused but viable may show contractile dysfunction as an adaptive response (hibernation). It can be diagnosed in PET radionuclide testing and dobutamine stimulation. This dysfunction is fully reversible following revascularization. Myocardial stunning is the occurrence of persistent contractile dysfunction following prolonged or repetitive ischemia.

medlight2u.com

• Sleeplessness (insomnia)
• Furuncle Nostril
• Presbyopia meaning “old eye”
• Oral cancer
• Gestational Trophoblastic Neoplasia (GTN)

Acne Acne vulgaris Acute Renal Failure Adrenal cortex Angina Angina Pectoris Aortic Regurgitation (AR) Aortic Stenosis (AS) Chest pain Chronic pyelonephritis Coarctation of Aorta Cough cyanosis Cystic acne Dehydration depression Diabetes Mellitus Diagnosis of Aortic Stenosis Dr.KTS DR K TAMILSELVAN Fatigue Heart Failure Hypertension Hypokalemia Hypothyroidism Ischemic Heart Disease LBBB Mitral Incompetence Mitral insufficiency Mitral valve prolapse Nocturia Patent Ductus Arteriosus PDA Polyuria Proteinuria pulmonary hypertension Pulmonary Stenosis ST Depression Symptoms of Acne Syncope Treatment for acne valvular heart disease Ventricular Septal Defect VSD Zits