Skip to main content
. 2019 Sep 27;35(4):474–486. doi: 10.1007/s00380-019-01518-7

Table 5.

SPT-positivity rate and prevalence of MB compared with the previous reports

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