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What is your preferred, first-line class of anti-anginals for MINOCA with proven epicardial coronary vasospasm?

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What is your preferred, first-line class of anti-anginals for MINOCA with proven epicardial coronary vasospasm?

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1 Answer
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Cardiology · Stanford University School of Medicine
Answered on

We typically start with long-acting nitrates such as isosorbide mono or dinitrate, but often patients will have adverse effects to nitrates that make long-term use challenging. We have had good results with non-dihydropyridine calcium channel blockers, particularly diltiazem, both as short and long-...

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