TITLE

ESTABLISHING THE DIAGNOSIS AND ETIOLOGY OF ANGINA PECTORIS

AUTHOR(S)
Groves, Bertron M.
PUB. DATE
December 1977
SOURCE
Angiology;Dec1977, Vol. 28 Issue 12, p817
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Angina pectoris can be diagnosed only by evaluation of the patient's history. Patients who describe constrictive, retrosternal chest pain precipitated by exertion or emotional upset and relieved by rest or nitroglycerin are appropriately diagnosed as having angina pectoris. The electrocardiogram is currently the most useful noninvasive procedure to evaluate patients with angina pectoris. Electrocardiographic evidence of ischemia during chest pain occurring spontaneously or during treadmill exercise stress testing helps to confirm that the patient's chest pain is angina pectoris. Because many patients with angina pectoris and electrocardiographic evidence of ischemia have "normal coronary arteriography," the diagnosis of coronary artery atherosclerosis requires angiographic evidence of coronary artery occlusive disease. The explanation for angina pectoris occurring in patients with a positive exercise treadmill stress test and normal coronary arteriography (with or without myocardial lactate production during stress) is unknown. Transient coronary artery spasm has been demonstrated to be the mechanism that produces angina pectoris in patients with variant angina who develop ST segment elevation during spontaneous episodes of angina pectoris. Myocardial radionuclide imaging promises to expand our understanding of the abnormalities of myocardial blood flow and metabolism which account for the varied clinical syndromes observed in patients with angina pectoris.
ACCESSION #
16384724

 

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