Secondary Logo

Institutional members access full text with Ovid®

Chest pain in patients with ‘normal angiography’: could it be cardiac?

Di Fiore, David P MBBS FRACP1; Beltrame, John F BSc BMBS FRACP PhD FESC FACC FAHA FCSANZ1

International Journal of Evidence-Based Healthcare: March 2013 - Volume 11 - Issue 1 - p 56–68
doi: 10.1111/1744-1609.12002
COMMENTARY
Buy

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.

1 The Queen Elizabeth Hospital, Discipline of Medicine, The University of Adelaide, Woodville South, South Australia, Australia

Correspondence: Professor John F. Beltrame, The Queen Elizabeth Hospital, Discipline of Medicine, The University of Adelaide, Woodville South, SA 5011, Australia. Email: john.beltrame@adelaide.edu.au

International Journal of Evidence-Based Healthcare © 2013 The Joanna Briggs Institute
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website