Mark Kellogg

What makes you think your patient has coronary artery vasospasm? See chapter on Angina Pectoris (3606) for information related to biochemical testing associated with coronary artery vasospasm.

At a Glance Acute coronary syndrome (ACS) is a complex group of symptoms associated with acute myocardial ischemia. Many patients with ACS present with chest pain at rest that can radiate to the arms, shoulders, and abdomen. However, many patients are also asymptomatic, and suspicion of ACS is based on the presence of risk factors,…

At a Glance Ischemia of the myocardium results when coronary blood flow is reduced by stenosis of the coronary arteries, abnormal constriction of the coronary microcirculation, or reduced oxygen carrying capacity of the blood. When the delivery of oxygen is insufficient for demand, ischemia results and can present as angina pectoris (chest pain). Angina presents…

At a Glance Biochemical markers of lipid status and/or inflammation can provide data useful in assessing the risk of cardiovascular disease in patients who may have conventional markers of increased cardiovascular risk, such as cigarette smoking, elevated blood pressure, and diabetes mellitus, but are currently asymptomatic and have no history of coronary heart disease. They…