Affiliation:
1. Gomel State Medical University
2. Gomel Region Cardiodispensary
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.
Publisher
Gomel State Medical University
Reference13 articles.
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. Preobrazhenskii, D. V. Angiospasticheskaya stenokardiya: diagnostika, techenie i medikamentoznaya terapiya / D. V. Preobrazhenskii, B. A. Sidorenko // Russkii meditsinskii zhurnal. - 1998. - № 6. - S. 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.