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[Angina and "normal coronarography" results: diagnostic approach and future perspectives (author's transl)]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|November 18, 1979
Insights
Patients experiencing angina with normal coronary angiography results are common, particularly in women. This review explores their characteristics, causes, and the limitations of defining "normal" coronary angiography.
Area of Science:
- Cardiology
- Diagnostic Imaging
Background:
- Angina pectoris is a common symptom, but coronary angiography often reveals normal findings.
- This presentation is more frequent in women, suggesting specific underlying mechanisms.
Purpose of the Study:
- To review the clinical, electrical, hemodynamic, and metabolic profiles of patients with angina and normal coronary angiography.
- To discuss the known etiologies and the limitations of coronary angiography in diagnosing these cases.
Main Methods:
- Literature review of studies investigating angina with normal coronary angiography.
- Analysis of clinical, electrical, hemodynamic, and metabolic data.
Main Results:
- Patients with angina and normal coronary angiography present with specific characteristics.
- Various etiologies contribute to this condition, highlighting the limitations of standard angiography.
Conclusions:
- Angina with normal coronary angiography is a distinct clinical entity.
- Further research is needed to refine diagnostic criteria and understand the pathophysiology.
Abstract:
Patients with angina but with "normal coronarography" results, are not a rare finding during angiographic investigations, more especially in the case of women. The authors review the clinical, electrical, hemodynamic and metabolic characteristics of these cases, and discuss the principal known etiologies, and limits of "normality" with respect to coronary artery angiography results.