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December 2, 1996European Heart Journal

Angina with normal coronary arteries: Diagnosis, pathophysiology and treatment

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Key result

Beta-blockers appear to be most effective in controlling symptoms of angina with normal coronary arteries, while calcium antagonists may be useful in primary microvascular angina.

Population

Patients undergoing diagnostic coronary arteriography for acute or chronic cardiac ischaemia who have…

Design

Review

Authors

SCSergio ChierchiaGFGabriele Fragasso

Discussion

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Overview

May guide therapy selection in angina with normal coronaries; hypothesis-generating pending randomized confirmation.

Structured PICO

P
Population
Patients undergoing diagnostic coronary arteriography for acute or chronic cardiac ischaemia who have angiographically normal coronary arteries
I
Intervention
Beta-blockers and calcium antagonists

Beta-blockers are highlighted as the most effective treatment for symptom control in patients with angina and normal coronary arteries.

Cite This Study

Chierchia et al. (1996) conducted a review in Angina with normal coronary arteries. Beta-blockers and calcium antagonists was evaluated. Beta-blockers appear to be most effective in controlling symptoms of angina with normal coronary arteries, while calcium antagonists may be useful in primary microvascular angina.

synapsesocial.com/papers/6a99787aee60764e37aab4efhttps://doi.org/10.1093/eurheartj/17.suppl_g.14
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reduced coronary dilatory capacity and ultrastructural changes of the myocardium in patients with angina pectoris but normal coronary arteriograms.1981 · 440 citations
  2. 2Evidence of Impaired Endothelium-Dependent Coronary Vasodilatation in Patients with Angina Pectoris and Normal Coronary Angiograms1993 · 562 citations
  3. 3Histologic evidence for small-vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries.1986 · 439 citations
  4. 4Four-year follow-up study in patients with angina pectoris and normal coronary arteriograms ("syndrome X")1989 · 125 citations
  5. 5Imipramine in Patients with Chest Pain Despite Normal Coronary Angiograms1994 · 508 citations