[Atypical chest pain with normal coronary vessels: clinical study and follow-up of 22 patients].
22 patients with normal coronarography but with angina pectoris or angina-like chest pain without evidence of coronary spasms are reviewed. We studied clinical characteristics, basal and exercise electrocardiography and other tests used to obtain a diagnosis, although only in one patient were we able to find an esophageal pathology which caused the clinical picture. After 20.7 +/- 14.4 months follow-up no patients had myocardial infarction or acute coronary events. Most of them still experience chest pain, are physically limited and use antianginal drugs. The fact that their coronarograms were normal decreased significantly the number of admissions to hospital (2.4 +/- 3.3 vs 0.26 +/- 0.95, P less than 0.02) and the amount of drugs prescribed. The lack of improvement of most of them seems to justify the need for other studies looking for a positive diagnosis and other types of treatment.
Villegas García
M
M
Secciones de Cardiología y Hemodinámica, Hospital Virgen de la Arrixaca, Murcia, España.
García Alberola
A
A
Molina Laborda
E
E
Campos Peris
J V
JV
Ruiz Ros
J A
JA
Pico Aracil
F
F
Ruipérez Abizanda
J A
JA
D000328:Adult; D000787:Angina Pectoris / Q000000981:diagnostic imaging*; D002637:Chest Pain / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged
Dolor torácico atípico con coronarias normales: estudio clínico y seguimiento de 22 pacientes.