Diagnosis and prognosis of chest pain with normal coronary arteriograms.
Ninety-eight patients previously investigated for suspected angina but shown to have normal coronary arteriograms were reviewed. The prognosis for like expectancy was excellent but 76% were still symptomatic after average follow up of three years. 41% of those re-evaluated were still thought to be describing cardiac-like pain. Full re-investigation showed coronary artery spasm or other causes of myocardial ischemia to be rare whereas oesophageal spasm was a common cause of the pain.
D000328:Adult; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011379:Prognosis; D013909:Thorax; D013997:Time Factors