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Postprandial angina pectoris: clinical and angiographic correlations
1Department of Medicine, Maimonides Medical Center, Brooklyn, New York 11219.
Journal of the American College of Cardiology
|March 1, 1994
Summary
Postprandial angina, chest pain after eating, indicates severe coronary artery disease. This finding suggests it should prompt coronary angiography for diagnosis.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Postprandial angina, a symptom of coronary artery disease (CAD), is under-researched.
- Limited information exists on the anatomical correlations of postprandial angina.
Purpose of the Study:
- To determine the severity of coronary artery disease in patients experiencing postprandial angina.
- To investigate the characteristics and clinical significance of postprandial angina.
Main Methods:
- A study involved 408 patients with chest pain and evidence of ischemia.
- 35 patients with postprandial angina (Group A) were compared to 373 patients with non-postprandial angina (Group B).
- Coronary angiography was performed on all participants to assess coronary artery disease severity.
Main Results:
- Postprandial angina was more common in men and associated with rest angina.
- Patients with postprandial angina showed a higher incidence of severe CAD, including left main and three-vessel disease.
- Lower ejection fraction was noted in the postprandial angina group.
Conclusions:
- Postprandial angina is a significant indicator of severe coronary artery disease.
- The presence of postprandial angina warrants coronary angiography for evaluation.