Coronary artery spasm during balloon angioplasty in a patient receiving dopamine infusion

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A case of severe diffuse coronary artery spasm following percutaneous transluminal coronary angioplasty (PTCA) during an infusion of dopamine at 12 μg/kg/min is reported. Although the incidence is low (0.1% of women undergoing PTCA), the condition required prompt reversal with intraaortic balloon counterpulsation and intravenous nitroglycerin.



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