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    Ischemic heart disease secondary to coronary vascular dysfunction causes angina and impairs quality of life and prognosis. About one-half of patients with symptoms and signs of ischemia turn out not to have obstructive coronary artery disease, and coronary vascular dysfunction may be relevant. Adjunctive tests of coronary vasomotion include guidewire-based techniques with adenosine and reactivity…

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    • Above graph and below figures published this week in a @JACCJournals SOA review by @TomJFord & @ColinBerryMD (would however use a microcatheter for safer selective IC acetylcholine infusion in LAD rather than direct LM infusion through guide) 2/ https://t.co/8DoPuJ6TLM https://t.co/bB81Cyjy1n