Chest pain in patients with ‘normal angiography’: could it be cardiac?
| Autor: | John F. Beltrame, D. Di Fiore |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Angina Pectoris
Variant Chest Pain medicine.medical_specialty Coronary Vasospasm Coronary Angiography Chest pain Diagnosis Differential Angina Internal medicine medicine Humans In patient cardiovascular diseases Microvascular Angina medicine.diagnostic_test Vasomotor business.industry Health Policy Public Health Environmental and Occupational Health Microvascular angina medicine.disease medicine.anatomical_structure Angiography Cardiology Radiology medicine.symptom business Syndrome x Artery |
| Zdroj: | International Journal of Evidence-Based Healthcare. 11:56-68 |
| ISSN: | 1744-1595 |
| DOI: | 10.1111/1744-1609.12002 |
| Popis: | Approximately 20% of patients undergoing diagnostic angiography for the evaluation of chest pain are found to have a normal coronary angiogram. Although this finding is generally associated with a low risk of cardiac events, approximately half will continue to experience chest pain over the next 12 months. Therefore, the finding of normal angiography warrants further evaluation of the potential causes for the presenting chest pain if we are to improve the disability suffered by these patients. In this review, the potential non-cardiac and cardiac causes for the chest pain in patients with normal angiography are briefly discussed with an in-depth focus on coronary vasomotor disorders including coronary artery spasm (variant angina) and microvascular disorders such as syndrome X, microvascular angina, the coronary slow flow phenomenon and microvascular spasm. |
| Databáze: | OpenAIRE |
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