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"Syndrome X" and coronary artery disease
A Chauhan1, M C Petch, P M Schofield
1Regional Cardiac Unit, Papworth Hospital, Cambridge, England, UK.
Background:
"Syndrome X" is a heterogeneous disorder that probably encompasses several disease states. The long-term prognosis in syndrome X is good, although a significant number of patients continue to experience chest pain and remain functionally limited. Several studies have reported that the development of coronary artery disease in patients with syndrome X is rare. Our experience, however, has shown that patients diagnosed as having syndrome X may develop atherosclerotic coronary artery disease over a relatively short period of time.
Methods:
Three patients with syndrome X were studied with repeat coronary angiography.
Results And Conclusions:
We describe the development of coronary artery disease in three syndrome X patients over a relatively short time after their normal coronary angiogram. Accordingly, the physician should remain alert to this possibility.