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Chapters
- 00:05Introduction
- 00:45Preparation for the Procedure
- 01:20Insertion of Catheters Before Acetylcholine Provocation Testing
- 03:05Measurement of Myocardial Lactate Production During Acetylcholine Provocation Testing
- 04:42Results: Coronary Sinus Lactate Measurements for Diagnosis of Microvascular Spasm
- 05:48Conclusion
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.
Tags
Keywords:
Myocardial Lactate ProductionCoronary Microvascular SpasmAch-provocation TestingVasospastic AnginaMicrovascular AnginaCoronary AngiographyAcetylcholineBlood Gas AnalysisLactate MeasurementCoronary Sinus CatheterJudkins Left CatheterAmplatz Left CatheterAnticoagulationVenous SheathArterial SheathUltrasound Guidance
