An ECG may show ischemic changes during chest pain , and it may show arrhythmias or conduction defects. Tests may be done to rule out fixed lesions such as clot or atherosclerosis as the cause of chest pain. The goal of treatment is to control chest pain and to prevent heart attack . Medications may also include beta blockers. Coronary artery spasm is a chronic condition.
Symptoms usually respond to treatment.
This disorder may indicate a high risk for severe angina or acute MI . Call your health care provider if crushing or heavy chest pain occurs or if chest pain does not respond to nitroglycerin in people with a prior history of angina .