Table 5.
Definition of MB | Definition of SPT-positivity | SPT-positivity rate | Provocation drugs | Prevalence of MB (%) | |||
---|---|---|---|---|---|---|---|
All (%) | MB (+) group (%) | MB (−) group (%) | |||||
Arai et al | Angiographic reduction in the diameter of the coronary artery during systole, also known as the “milking effect” between systole and diastole | Total or subtotal occlusion with ECG changes and/or chest pain | 27.1 | 56.5 | 22.4 | ER | 13.9 |
Teragawa et al. [8] | Angiographic reduction in the diameter of the coronary artery during systole of > 15% | ≥ 50% reduction in the arterial diameter, associated with ECG changes and/or chest pain | 51.8 | 73.2 | 39.7 | ACH and ER | 36.0 |
Saito et al. [12] | Angiographic systolic narrowing of coronary vessels that was pronounced than in neighboring normal vessels, with partial or complete decompression during diastole (i.e. milking effect) | Total or subtotal occlusion with ECG changes and/or chest pain | 49.0 | 59.3 | 43.3 | ACH | 35.7 |
Xiang et al. [19] | 50% angiographic reduction in the diameter of the coronary artery during systole | 90% or above reduction in the arterial diameter with ECG changes and/or chest pain | 63.4 | 85.3 | 53.4 | ACH | 31.5 |
SPT spasm provocation test, MB myocardial bridging, ECG electrocardiogram, ER ergonovine, ACH acetylcholine