CAUSES OF ANGINA WITH NORMAL OR NONOBSTRUCTIVE CORONARY ARTERIES
https://doi.org/10.51523/2708-6011.2008-5-4-20
Abstract
Up to 20 percent of patients with anginal chest pain, the coronary angiogram, usually obtained because of «positive» findings on one or more noninvasive tests, does not show clinically significant narrowing of the vessel lumen. The most common causes of these conditions such as variant angina, X-syndrome, gastrointestinal disorders and others are systematizing in this article. The practical algorithm for management of patients with symptoms and nonobstructive coronary artery disease is presented.
About the Authors
S. Y. Gorokhovsky
Gomel State Medical University
Belarus
Belarus
V. V. Anichkin
Gomel Region Cardiodispensary
Belarus
Belarus
References
1. Prinzmetal, M. Angina pectoris. A variant form of angina pectoris. Preliminary report / M. Prinzmetal, R. Kennamer, R. Merliss // Am. J. Med. - 1959. - Vol. 27. - P. 375.
2. Преображенский, Д. В. Ангиоспастическая стенокардия: диагностика, течение и медикаментозная терапия / Д. В. Преображенский, Б. А. Сидоренко // Русский медицинский журнал. - 1998. - № 6. - С. 80-86.
3. Cohen, M. Variant angina pectoris / M. Cohen // Atherosclerosis and Coronary Artery Disease. - Philadelphia: Lippincott-Raven, 1996. - P. 1367-1376.
4. Okumura, K. Diffuse disorder of coronary artery vasomotility in patients with coronary spastic angina. Hyperreactivity to the constrictor effects of acetylcholine and the dilator effects of nitroglycerin / K. Okumura, H. Yasue, K. Matsuyama // J. Am. Coll. Cardiol. - 1996. - Vol. 27. - P. 45.
5. Berman, N. D. Prinzmetal's angina with coronary artery spasm. Angiographic, pharmacologic, metabolic and radionuclide perfusion studies / N. D. Berman, P. R. McLaughlin, V. F. Huckell // Am. J. Med. - 1976. - Vol. 60. - P. 727.
6. Hyperventilation as a specific test for diagnosis of coronary artery spasm / K. Nakao [et al.] // Am. J. Cardiol. - 1997. - Vol. 80. - P. 545-549.
7. ACC/AHA guidelines for coronary angiography. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on Coronary Angiography) / P. J. Scanlon [et al.] // J. Am. Coll. Cardiol. - 1999. - Vol. 33. - P. 1756.
8. Safety evaluation of routine intracoronary acetylcholine infusion in patients undergoing a first diagnostic coronary angiogram / A. René, [et al.] // J. Investig. Med. - 2002. - Vol. 50(2). - P. 133-139.
9. Induction of coronary artery spasm by a direct local action of ergonovine / D. Hackett [et al.] //Circulation - 1987. - Vol. 75. - P. 577-582.
10. Organic coronary stenosis in Prinzmetal’s variant angina / D. Rovai [et al.] // J. Cardiol. - 1997. - Vol. 30. - P. 299-305.
11. Shephard, J. Endothelium derived vasoactive factors, endothelium-dependent relaxation / J. Shephard, Z. Katsie // Hypertension - 1991. - Vol. 18 (Suppl III). - P. 76-85.
12. Cannon, R. Chest pain in women with normal coronary angiograms / R. Cannon, R. Balaban // NEJM - 2000. - Vol. 342. - P. 885-887.
13. Bugiardini, R. Angina with normal coronary arteries / R.Bugiardini, C. Merz // JAMA. - 2005. - Vol. 293. - P. 477-484.
Review
For citations:
Gorokhovsky S.Y., Anichkin V.V. CAUSES OF ANGINA WITH NORMAL OR NONOBSTRUCTIVE CORONARY ARTERIES. Health and Ecology Issues. 2008;(4):95-99. (In Russ.) https://doi.org/10.51523/2708-6011.2008-5-4-20
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