Key result
Evaluating patients with anginalike chest pain and normal coronary arteries requires considering alternative cardiac syndromes and tailoring workup and diagnosis on an individual basis.
Highlights the importance of considering non-atherosclerotic causes in patients presenting with anginalike chest pain and normal coronary arteries to tailor appropriate management.
Requires individualized consideration of alternative syndromes in angina-like pain with normal arteries; leaves open prospective validation of diagnostic pathways.
Atherosclerotic CAD is the most common cause of cardiac chest pain in Western countries. Other cardiac syndromes may also cause anginalike pain and may be difficult to differentiate from atherosclerotic CAD. It is essential to make this distinction, because management and prognosis of these conditions are entirely different. A detailed history and, in some cases, special diagnostic methods can help make the diagnosis. When evaluating patients with anginalike chest pain and normal coronary arteries, physicians need to consider this group of diseases and tailor workup and diagnosis on an individual basis.
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Mahek Mirza (2005) conducted a review in Anginalike chest pain with normal coronary arteries. Evaluating patients with anginalike chest pain and normal coronary arteries requires considering alternative cardiac syndromes and tailoring workup and diagnosis on an individual basis.
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