This review provides an overview of the clinical challenge of managing recurrent angina after coronary revascularization, detailing causes, diagnosis, and treatment options.
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Recurrent post-revascularization chest pain requires individualized evaluation; review extends synthesis of causes and options but leaves open standardized algorithms.
Coronary revascularization procedures by means of percutaneous coronary interventions or coronary artery bypass graft surgeries are performed worldwide daily for the symptomatic treatment of patients with myocardial ischaemia. Nevertheless, angina remains a significant clinical problem. Management of angina recurring or persisting after coronary revascularization is particularly challenging. This review attempts to summarize the most common causes of recurrent chest pain after coronary revascularization, to analyse the possible diagnostic approaches, and to discuss the potential treatment modalities.
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Abbate et al. (2007) studied this question.
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