SUMMARY We established the incidence of coronary artery spasm provoked by 0.4 mg of methergine in 1089 consecutive patients undergoing coronary angiography. The test was performed after routine coronary arteriography. Subjects included patients with angina, both typical and atypical, patients who had recently had myocardial infarction and patients with either valvular disease or congestive cardiomyopathy. Patients with spontaneous spasm, left main narrowing or severe three-vessel disease were excluded. One hundred thirty-four patients experienced focal spasm. Focal spasm was uncommon in patients with atypical precordial pain (1.2%), angina of effort (4.3%), valvular disease (1.95%) or cardiomyopathy (0%). It occurred most often in patients with angina at rest and less often in patients with angina both at rest and induced by exercise. Spasm was provoked in 20% of patients with recent transmural infarction, but in only 6.2% of patients studied later after infarction. Spasm was superimposed on fixed atherosclerotic lesions in 60% of the patients. No serious complications were encountered.Although the patients who underwent provocation tests in this study are not representative of all patients with coronary artery disease, spasm occurred in 20% of patients who experienced a coronary event and in 15% of patients who complained of chest pain.

Birch bark tar, the oldest adhesive known in Europe, was widely used during Prehistory. This material, produced by the dry distillation of birch bark, has been identified in various spheres of activities and provides valuable information on the know-how and technical and territorial systems of past societies. This biomaterial can also provide evidence on socio-economic networks and mobility. However, very little is known about the production systems of birch bark tar during Prehistory, including the Neolithic period. The lack of findings in the archaeological record necessitates the development of an approach that combines experimental archaeology and biomolecular chemistry. We present here (1) the results of experiments in which different birch bark tar production systems were tested and (2) the molecular signatures of the birch bark tars produced according to different processes based on the use of ceramic vessels. The key role of bark quality is highlighted for the first time. This study also details direct archaeological inference of the experimental results obtained: a total of 23 samples from the site of Nice-Giribaldi (France, second part of the fifth century BCE) was investigated. Different categories of birch bark tars were identified during Neolithic in the south of France, providing evidence for the existence of complex manufacturing systems and procurement networks.

These results suggest that cortical parameters are more sensitive for early diagnosis of ARD than kidney size. Cortical atrophy should be a useful marker for guidance for revascularization.