Admission
Consider admission for serial cardiac enzymes and provocative testing
Sometimes spasm occurs around an already existing plaque
Discharge
Discharge hemodynamically stable patients who have a negative ischemic workup
Provide smoking cessation education
Follow up w/ cardiology within one week
Consider admission for serial cardiac enzymes and provocative testing
Sometimes spasm occurs around an already existing plaque
Sometimes spasm occurs around an already existing plaque
Discharge hemodynamically stable patients who have a negative ischemic workup
Provide smoking cessation education
Follow up w/ cardiology within one week
Coronary artery vasospasm
Acute coronary syndromes 
Anomalous coronary arteries
STEMI
Cocaine-associated chest pain
Non-STEMI
Digoxin toxicity
Unstable angina