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Angina pectoris and physiological coronarographic findings

Mehmed Kulić1, Elnur Tahirović, Zina Lazović

  • 1University of Sarajevo Clinics Centre, Bosnia and Herzegovina.

Bosnian Journal of Basic Medical Sciences
|September 17, 2009
PubMed

Insights

Patients with angina and normal coronary arteries often have risk factors like high BMI and hypertension. Addressing these factors is crucial for improving quality of life in individuals with chest pain but clear coronary arteries.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Angina pectoris can occur despite normal coronary arteries.
  • Normal coronary arteries are defined by the absence of visible disease or <50% lumen irregularity.

Purpose of the Study:

  • To investigate risk factors in patients presenting with angina but having normal coronary angiographic findings.

Main Methods:

  • Retrospective analysis of 1130 patients.
  • Identification of 181 patients with normal coronary angiographic findings.
  • Assessment of various cardiovascular risk factors.

Main Results:

  • 181 patients (15.9%) had normal coronary arteries.
  • Common risk factors included male sex, high body mass index (BMI), lipid disorders, smoking, hypertension, and type 2 diabetes mellitus.
  • Female patients (56.3%) with normal coronary findings frequently had high BMI, uncontrolled hypertension, and lipid disorders.

Conclusions:

  • Patients with angina and normal coronary arteries require thorough evaluation for chest pain causes.
  • Management should focus on reducing modifiable risk factors.
  • Effective risk factor reduction and treatment are key for enhancing patient quality of life.

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