Clinical Features and Follow-Up of Patients With Angina and Normal Coronary Arteries

Clinical Characteristics and Follow-up in Patients With Microvascular Angina.

“…[11][12][13][14][15][16][17][18][19][20] Kaski et al studied 99 patients with syndrome X and found a complete absence of death, myocardial infarction and changes in ventricular function during their follow-up period. 13 Recently Foussas et al reported that of 160 patients, only 1 suffered a sudden cardiac death and 2 had a nonfatal myocardial infarction.…”

“…With regard to the prognosis of syndrome X and microvascular angina, there have been some reports showing favorable prognoses in patients with angina-like chest pain and normal coronary arteriograms; [11][12][13][14][15][16][17][18][19][20] However, progressive reduction in left ventricular function has also been described in other reports from Western countries, 9,10 but to date there have been few reports on the prognosis of syndrome X in Japanese patients. 20 This study describes the clinical features and long-term prognosis of patients with microvascular angina, diagnosed by our strict criteria, who underwent cardiac catheterization and endomyocardial biopsy from 1988 to 1997 at Showa University Hospital.…”

Unexplained Chest Pain with Normal Coronary Arteriograms

“…In previous series patients with a myocardial infarction have also been in cluded [7,9,10]. One of our patients experi enced a recurrence of infarction 2 years later and 7 continued to experience chest pain during follow-up.…”

“…Proudfit et al [4] reported an acute infarction in 2 of 357 patients with normal coronary arteries fol lowed up over 10 years. Other studies [5,[7][8][9][10][11] confirm the low incidence of myocardial infarction during follow-up.…”

“…These findings suggest that in many patients the complaints had atypical features. Previous authors [4,5,7,8,10,11] also commented on the atypical character of the pain syndrome in a variable number of their patients. However, as pointed out by Kemp et al [9], no specific historical fea tures permit a clear distinction from patients with coronary artery disease.…”