1981
DOI: 10.1016/0002-8703(81)90088-0
|View full text |Cite
|
Sign up to set email alerts
|

Long-term clinical course of patients with normal coronary arteriography: Follow-up study of 121 patients with normal or nearly normal coronary arteriograms

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2

Citation Types

6
29
1
1

Year Published

1985
1985
2017
2017

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 114 publications
(37 citation statements)
references
References 32 publications
6
29
1
1
Order By: Relevance
“…Aside from the angina symptoms, the overall acute CV event rate during the 6 year follow-up was low, which support the current perception that patients with non-obstructive coronary disease have good prognosis [22,28]. But the prevalence of acute events in our group seem to be higher than the respective rates in the general population in Italy, being 2.2% for myocardial infarction and 1.4% for stroke [29].…”
Section: Data Interpretationsupporting
confidence: 82%
See 1 more Smart Citation
“…Aside from the angina symptoms, the overall acute CV event rate during the 6 year follow-up was low, which support the current perception that patients with non-obstructive coronary disease have good prognosis [22,28]. But the prevalence of acute events in our group seem to be higher than the respective rates in the general population in Italy, being 2.2% for myocardial infarction and 1.4% for stroke [29].…”
Section: Data Interpretationsupporting
confidence: 82%
“…While 20% of our patients fell in this category, a significant higher percentage has been reported by others, even at shorter follow-up [14,22]. This raises the question about the nature of the angina like chest pain that patients complain of, which could be explained by either calcified epicardial vessels or microcirculation disease [4,[23][24][25][26] or else non-cardiac in origin, e.g.…”
Section: Data Interpretationmentioning
confidence: 50%
“…28 Results of such studies have been interpreted as "false positives" at one extreme and as indicative of myocardial ischemia of uncertain cause at the other. The most compelling argument against the presence of myocardial ischemia is that the prognosis of patients with chest pain and angiographically normal epicardial coronary arteries is believed to be benign,'0 13-15 29-31 even if they continue to experience frequent and disabling chest pain.30 31 We recently found that many patients with chest pain who have angiographically normal coronary arteries and no evidence of large vessel spasm after ergonovine challenge demonstrate a limited capacity to decrease coronary resistance and increase coronary flow in response to atrial pacing. 32 This apparent inappropriate vasodilator reserve was associated with the patient's typical chest pain and diminished lactate consumption.…”
mentioning
confidence: 99%
“…Marchandise et al [13] reexamined 22 patients after a mean interval of 4.5 years and did not ob serve the development of lesions. In the study of Proudfit et al [4], during a follow up period of 10 years, 10 of 357 patients underwent for clinical reasons a control cor- All patients included in the present study had angiographically completely normal cor onary arteries and no patients with minimal coronary lesions, as was the case in some previous studies [4,5,10], were included. The chest pain syndrome had been consid ered by the referring cardiologist as compat ible with pain of ischemic origin.…”
Section: Discussionmentioning
confidence: 89%
“…The incidence of coronary artery lesions on follow-up coronary arteriography is low in patients with normal coronary arteries and chest pain [4,10,11,13]. Marchandise et al [13] reexamined 22 patients after a mean interval of 4.5 years and did not ob serve the development of lesions.…”
Section: Discussionmentioning
confidence: 99%