[Normal coronary angiography. Survival and functional status at 6 years].
Despite the development of non-invasive diagnostic techniques, the absence of significant coronary stenosis is observed in 10 to 30% of coronary angiographic studies. The authors report the survival and functional status at 6 years of 172 consecutive patients with symptoms of angina without significant angiographic coronary stenosis. The average age was 60.8 years with a sex ratio of 1.1 and chest pain as the indication for coronary angiography in over 90% of cases. The global mortality after an average of 75.6 months follow-up was 11%, lower in women (8.5%) than in men (13.3%) with an annual mortality of 16.3 per thousand. Sudden death was observed in 4 patients and a third of deaths was of cardiac origin. The persistence of symptoms was reported by 58% of patients, mainly atypical chest pain. Despite the result of coronary angiography, nearly half of the patients were followed up annually by a cardiologist, two thirds remained on anti-anginal therapy, 20% were treated by psychotropic agents and hospital admission to the cardiology department was required in 22% of cases during follow-up. None of the patients had myocardial infarction. Survival and myocardial function after normal coronary angiography therefore appear to be good in contrast with the functional status of these patients.
Christiaens
L
L
Département de cardiologie, centre hospitalo-universitaire de Poitiers, hôpital La Milétrie 350, avenue Jacques-Coeur, 86021 Poitiers.
Allal
J
J
Martin Landragin
I
I
Coisne
D
D
Donal
E
E
Duplantier
C
C
Barraine
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D017023:Coronary Angiography; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016019:Survival Analysis; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents
Coronarographie normale. Pronostic vital et fonctionnel à 6 ans.