Repeat coronary angiography in patients with chest pain and previously normal coronary angiogram

Patients with chest pain and normal coronary angiograms (1) have excellent long-term survival and (2) are unlikely over the ensuing years to develop clinically significant atherosclerotic coronary artery disease. Specifically, of the 17 subjects with a previously normal coronary angiogram who had re...

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Bibliographic Details
Published in:The American journal of cardiology 1997-10, Vol.80 (8), p.1086-1087
Main Authors: Pitts, William R., Lange, Richard A., Cigarroa, Joaquin E., Hillis, L.David
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cardiovascular system
Chest Pain - diagnosis
Chest Pain - mortality
Coronary Angiography
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Survival Rate
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Summary:Patients with chest pain and normal coronary angiograms (1) have excellent long-term survival and (2) are unlikely over the ensuing years to develop clinically significant atherosclerotic coronary artery disease. Specifically, of the 17 subjects with a previously normal coronary angiogram who had repeat angiography an average of almost 9 years later, 15 showed no appearance of coronary artery disease. Only 2 developed single-vessel coronary artery disease, 1 of whom had a myocardial infarction. In our opinion, repeat coronary angiography in a patient with a previously normal coronary angiogram should be reserved for those with objective evidence of spontaneous or provocable ischemia.
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(97)00610-3