In patients with severe aortic valve disease, angina pectoris frequently occurs in the absence of significant coronary artery disease, and its clinical and hemodynamic correlates differ between aortic stenosis and aortic regurgitation.
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Angina in severe aortic valve disease warrants caution before assuming CAD; leaves open valve-specific ischemia mechanisms.
Basta et al. (1975) studied this question.
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