scholarly journals EXCELLENT PROGNOSIS OF JAPANESE PATIENTS WITH CHEST PAIN AND NORMAL OR NEARLY NORMAL CORONARY ARTERIES : 2-to 13-Year Follow-Up of 274 Patients After Coronary Cineangiography

1993 ◽  
Vol 58 (1) ◽  
pp. 43-48 ◽  
Author(s):  
YUZO HIROTA ◽  
HARUHIKO OHNAKA ◽  
RYOICHI TSUJI ◽  
KATSUHISA ISHII ◽  
YOSHIO KITA ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Japanese Patients ◽  
Normal Coronary Arteries

Psychological morbidity in patients with chest pain and normal or near-normal coronary arteries: a long-term follow-up study

1995 ◽  
Vol 25 (2) ◽  
pp. 339-347 ◽  
Author(s):  
S. G. Potts ◽  
C. M. Bass
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Psychological Factors ◽  
Rating Scales ◽  
Physical Symptoms ◽  
Economic Benefits ◽  
Psychological Morbidity ◽  
Control Group ◽  
Normal Coronary Arteries

SynopsisForty-six patients with chest pain but normal or near-normal coronary arteries were assessed using standardized interviews and rating scales at the time of angiography, after 1 year, and again 11·4 years later. Psychological morbidity was substantial and enduring: 61% of patients were designated as psychiatric cases at angiography and 49% at 11·4 years. Both at the time of angiography, and 1 year later, levels of morbidity were significantly greater than in a control group of 53 patients with coronary artery disease. Anxiety disorders were common at all three interviews, with panic disorder (15% of patients) the most common current diagnosis at final follow-up. Current somatoform disorders were diagnosed in 9 patients (22%), and 11 (27 %) reported previous episodes of major depression. Psychological morbidity was associated with continuing chest pain, which was reported in 74% of patients, and with ongoing functional incapacity. These findings suggest that, in a sub-group of these patients, psychological factors contribute in part to the development of chest pain and other physical symptoms, and are also important in maintaining the disorder over long periods. Further research is now required to identify more fully the nature of these psychological factors, and how they interact with cardiac and non-cardiac physical pathology. There is also an urgent need to examine the clinical and economic benefits of specific psychological interventions.

One-year psychosocial follow-up of patients with chest pain and angiographically normal coronary arteries

1988 ◽  
Vol 62 (4) ◽  
pp. 209-213 ◽  
Author(s):  
Larry J. Lantinga ◽  
Robert P. Sprafkin ◽  
James H. McCroskery ◽  
Marilyn T. Baker ◽  
Robert A. Warner ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Normal Coronary Arteries ◽  
One Year

Clinical Characteristics and Follow-up of Patients with Chest Pain and Normal Coronary Arteries

Angiology ◽  
1998 ◽  
Vol 49 (5) ◽  
pp. 349-354 ◽  
Author(s):  
S.G. Foussas ◽  
E.N. Adamopoulou ◽  
N.A. Kafaltis ◽  
C. Fakiolas ◽  
C. Olympios ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Clinical Characteristics ◽  
Normal Coronary Arteries

scholarly journals Long-term prognostic value of coronary computed tomography angiography in chest pain patients

2018 ◽  
Vol 60 (1) ◽  
pp. 45-53
Author(s):  
Mårten Sandstedt ◽  
Jakob De Geer ◽  
Lilian Henriksson ◽  
Jan Engvall ◽  
Magnus Janzon ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Coronary Arteries ◽  
Computed Tomography Angiography ◽  
Prognostic Value ◽  
Coronary Computed Tomography Angiography ◽  
Normal Coronary Arteries ◽  
Coronary Computed Tomography

Background Coronary computed tomography angiography (CCTA) is increasingly used to detect coronary artery disease (CAD), but long-term follow-up studies are still scarce. Purpose To evaluate the prognostic value of CCTA in patients with suspected CAD. Material and Methods A total of 1205 consecutive CCTA patients with chest pain were classified as normal coronary arteries, non-obstructive CAD, or obstructive CAD. The primary outcome was major adverse cardiac event (MACE), defined as a composite outcome including cardiac death, myocardial infarction, unstable angina pectoris, or late revascularization (after >90 days). Results Over 7.5 years follow-up (median = 3.1 years), Kaplan–Meier estimates demonstrated a MACE in 1.0%, 4.6%, and 20.7% in normal coronary arteries, non-obstructive CAD, and obstructive CAD, respectively. Log rank test for pairwise comparisons showed significant differences between non-obstructive CAD and normal coronary arteries ( P = 0.023) and between obstructive CAD and normal coronary arteries ( P < 0.001). In a multivariable analysis, adjusting for classical risk factors, non-obstructive CAD and obstructive CAD were independent predictors of MACE, with hazard ratios (HR) of 3.22 ( P = 0.041) and 25.18 ( P < 0.001), respectively. Conclusion Patients with normal coronary arteries have excellent long-term prognosis, but the risk for MACE increases with non-obstructive and obstructive CAD. Both non-obstructive and obstructive CAD are independently associated with future ischemic events.

Panic Disorder: A Frequent Occurrence in Patients with Chest Pain and Normal Coronary Arteries

Angiology ◽  
1987 ◽  
Vol 38 (3) ◽  
pp. 236-240 ◽  
Author(s):  
Vaskar Mukerji ◽  
Bernard D. Beitman ◽  
Martin A. Alpert ◽  
Joseph W. Lamberti ◽  
Lori DeRosear ◽  
...  
Keyword(s):  
Chest Pain ◽  
Panic Disorder ◽  
Coronary Arteries ◽  
Frequent Occurrence ◽  
Normal Coronary Arteries

The Prevalence of Rheumatologic Disorders in Patients with Chest Pain and Angiographically Normal Coronary Arteries

Angiology ◽  
1995 ◽  
Vol 46 (5) ◽  
pp. 425-430 ◽  
Author(s):  
Basanti Mukerji ◽  
Vaskar Mukerji ◽  
Martin A. Alpert ◽  
Rajesh Selukar
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Normal Coronary Arteries

Coronary microvascular spasm triggers transient ischemic left ventricular diastolic abnormalities in patients with chest pain and angiographically normal coronary arteries

2014 ◽  
Vol 236 (1) ◽  
pp. 207-214 ◽  
Author(s):  
Antonio Luis Arrebola-Moreno ◽  
Juan Pedro Arrebola ◽  
Antonio Moral-Ruiz ◽  
Jose Antonio Ramirez-Hernandez ◽  
Rafael Melgares-Moreno ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Arteries ◽  
Left Ventricular ◽  
Normal Coronary Arteries ◽  
Microvascular Spasm
Sign in / Sign up

Export Citation Format

Share Document