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If you have risk factors for heart disease, you also have risk factors for a coronary artery spasm. The most common risk factors include:

  • High blood pressure (hypertension).
  • High cholesterol (hyperlipidemia).
  • Smoking or using tobacco products.
  • Recreational drug use.

Many people who don’t have high blood pressure or high cholesterol experience coronary artery spasms. Often, these people smoke regularly.

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