Key result
Coronary slow flow phenomenon presents with a diverse clinical spectrum ranging from mild chest discomfort to ST-segment elevation myocardial infarction, as highlighted by two patient cases.
The coronary slow flow phenomenon can present with a diverse spectrum of symptoms, from mild chest discomfort to STEMI, and requires careful diagnostic and therapeutic consideration.
Broadens CSFP differential for chest pain to STEMI; leaves open evidence-based management pending prospective data.
The coronary slow flow phenomenon (CSFP) is a disease entity characterized by slow progression of angiographic contrast in the coronary arteries in the absence of stenosis in the epicardial vessels. CSFP has a diverse presentation from mild chest discomfort to ST-segment elevation myocardial infarction. It can also have severe morbidity and mortality implications and can significantly hamper the quality of life of those affected. In this paper we present two patients with CSFP highlighting the diverse spectrum of presentation. A concise review of the literature is also provided emphasizing the epidemiology, pathogenesis, diagnostic parameters, treatment modalities, and clinical significance of this phenomenon.
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Chaudhry et al. (2012) conducted a review in Coronary slow flow phenomenon (CSFP) (n=2). Coronary slow flow phenomenon presents with a diverse clinical spectrum ranging from mild chest discomfort to ST-segment elevation myocardial infarction, as highlighted by two patient cases.
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