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Angina, "normal" coronary angiography, and vascular dysfunction: risk assessment strategies
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2007 (English)In: PLoS Medicine, ISSN 1549-1277, E-ISSN 1549-1676, Vol. 4, no 2, e12- p.Article in journal (Refereed) Published
Abstract [en]

Chest pain may be associated with coronary arteries that appear "normal". Normal is defined here as no visible disease or luminal irregularities (less than 50%) as judged visually at coronary angiography. Normal angiography in patients with chest pain is five times more common in women than in men [1]. Among patients with chest pain and normal angiography, an unknown number are suffering from cardiac pain of ischemic origin. Uncertainty is often difficult to allay, for medical attendants as well as for patients, resulting in perpetuation of symptoms, difficulties in management, and establishment of risk of subsequent coronary events [2]. In this article, we discuss how to stratify risk in patients with chest pain and a normal coronary angiogram.

Place, publisher, year, edition, pages
2007. Vol. 4, no 2, e12- p.
Keyword [en]
Angina Pectoris/*physiopathology, Chest Pain/etiology, Coronary Angiography, Coronary Artery Disease, Decision Making, Endothelium; Vascular/*physiopathology, Humans, Quality of Life, Risk Assessment
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-17350DOI: 10.1371/journal.pmed.0040012ISI: 000244711800016PubMedID: 17326702OAI: oai:DiVA.org:uu-17350DiVA: diva2:45121
Available from: 2008-06-19 Created: 2008-06-19 Last updated: 2011-04-28Bibliographically approved

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Publisher's full textPubMedhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=17326702&dopt=Citation

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Wallentin, Lars
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UCR-Uppsala Clinical Research Center
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