“…Coronary spasm occurs in various cardiac conditions, such as acute coronary syndrome, ventricular tachycardia and fibrillation, sudden cardiac death, syncope, silent ischemia and other miscellaneous disorders. [2][3][4][5][6] Japanese patients have had spasm provoked at a rate 3-fold higher than in Caucasian patients 7 and in our data also, coronary spasm was induced in approximately 50% of patients with ischemic heart disease. 8 In Asian patients, coronary spasm is an important key to diagnosing possible ischemic heart disease.…”