Chest Pain with Normal Coronary Arteries [electronic resource] : A Multidisciplinary Approach /
Kaski, Juan Carlos.editor.
Eslick, Guy D.editor.
Bairey Merz, C. Noel.editor.
The condition known as “chest pain with normal coronary arteries” or “cardiac syndrome X” has puzzled physicians since the advent of coronary arteriography. Although epicardial coronary artery spasm, as seen in Prinzmetal’s variant angina, explains a proportion of cases of typical chest pain despite normal coronary arteriograms, many patients who seek medical attention for exertional and rest angina in the absence of obstructive coronary artery disease are not variant angina cases. This syndrome therefore constitutes both a diagnostic and therapeutic challenge. Chest Pain with Normal Coronary Arteries has been written by many of the most active international research groups and comprehensively tackles the clinical presentation and the pathogenesis of the condition, as well as its management. Abnormalities of the coronary microcirculation have remained elusive to conventional imaging and researchers appear only recently to be making progress in obtaining much needed information in this field. The functional aspects of the coronary microcirculation, its clinical presentation and prognosis, as well as the diagnostic tests used for the assessment of microvascular dysfunction are important topics highlighted in this book, which also includes useful clinical diagnostic algorithms, thus bringing this subject closer to the practicing cardiologist. This book thus represents a practical tool for the clinician and a bank of information and new ideas for research scientists and clinical researchers interested in understanding the causes and mechanisms of the condition.
""Chest Pain with Normal Coronary Arteries""; ""Copyright""; ""Dedication""; ""Foreword""; ""Preface""; ""Acknowledgments""; ""Contents""; ""Contributors""; ""Part I : Introductory Chapters""; ""1: Cardiac Syndrome X: An Overview""; ""Introduction""; ""Pathogenesis""; ""Myocardial Ischemia""; ""Abnormal Pain Perception""; ""Psychological Morbidity""; ""Cost Economics Issues""; ""Prognosis and Quality of Life""; ""Management""; ""Hormone Therapy""; ""Psychological Intervention""; ""Physical Training""; ""Summary""; ""References""; ""2: Non-Cardiac Chest Pain of Non-Esophageal Origin""
""Introduction""""Non-Esophageal Causes of Chest Pain""; ""Gastrointestinal Sources of Chest Pain""; ""Gastric Causes""; ""Gall Bladder and Biliary Tree""; ""Pancreatic""; ""Musculoskeletal""; ""Thoracic Wall Joints""; ""Costochondritis""; ""Tietze Syndrome""; ""Ribs""; ""Slipping Rib Syndrome""; ""Sternum""; ""Sternoclavicular Syndrome""; ""Myofascial""; ""Precordial Catch Syndrome""; ""Epidemic Myalgia""; ""Muscle Injuries""; ""Cervical and Thoracic Spine""; ""Pseudoangina""; ""Thoracic Outlet Syndrome""; ""Fibromyalgia""; ""Pulmonary""; ""Pneumonia""; ""Pleuritis and Pleural Effusions""
""Pulmonary Embolism""""Pneumothorax and Pneumomediastinum""; ""Pulmonary Arterial Hypertension""; ""Psychological Disorders""; ""Malignant Diseases""; ""Miscellaneous""; ""Acute Aortic Syndrome""; ""Sickle Cell Disease""; ""Drug-Induced Pain""; ""Cocaine""; ""Serotonin Receptor Agonists (Triptans)""; ""Other Drugs""; ""Herpes Zoster""; ""Summary""; ""References""; ""3: Esophageal Chest Pain""; ""Introduction""; ""Epidemiology""; ""Categories of Esophageal Chest Pain""; ""GERD Related Chest Pain""; ""Esophageal Dysmotility Related Chest Pain""; ""Esophageal Hypersensitivity""
""Eosinophilic Esophagitis""""Infectious Esophagitis""; ""Functional Chest Pain""; ""Pathophysiology""; ""Diagnosis""; ""Proton Pump Inhibitor Test""; ""Ambulatory pH Monitoring""; ""Endoscopy""; ""Manometry""; ""Other Tests""; ""Management""; ""Antire ux Therapy""; ""Neuromodulators""; ""Smooth Muscle Relaxants""; ""Botulinum Toxin Therapy""; ""Other Approaches""; ""Nonpharmacologic Approaches""; ""Prognosis""; ""References""; ""Part II : Epidemiology and Pathogenesis""; ""4: Epidemiology of Cardiac Syndrome X and Microvascular Angina""; ""Epidemiological Considerations""
""Defining Normal Coronary Angiography""""Historical Evolution of â€?Syndrome Xâ€?""; ""Prevalence and Incidence Data""; ""Chest Pain and Normal Coronary Angiography""; ""Chest Pain of Unknown Origin""; ""Natural History of Chest Pain and Normal Coronary Angiography""; ""Clinical Features""; ""Chest Pain Characteristics""; ""Cardiac Events""; ""Functional Outcomes""; ""Possible Causes of Chest Pain with Normal Coronary Angiography""; ""Cardiac Causes""; ""Specific Coronary Microvascular Disorders""; ""Cardiac Syndrome X (Syndrome X)""; ""Microvascular Angina""
""Coronary Slow Flow Phenomenon""
Includes index.
The condition known as “chest pain with normal coronary arteries” or “cardiac syndrome X” has puzzled physicians since the advent of coronary arteriography. Although epicardial coronary artery spasm, as seen in Prinzmetal’s variant angina, explains a proportion of cases of typical chest pain despite normal coronary arteriograms, many patients who seek medical attention for exertional and rest angina in the absence of obstructive coronary artery disease are not variant angina cases. This syndrome therefore constitutes both a diagnostic and therapeutic challenge. Chest Pain with Normal Coronary Arteries has been written by many of the most active international research groups and comprehensively tackles the clinical presentation and the pathogenesis of the condition, as well as its management. Abnormalities of the coronary microcirculation have remained elusive to conventional imaging and researchers appear only recently to be making progress in obtaining much needed information in this field. The functional aspects of the coronary microcirculation, its clinical presentation and prognosis, as well as the diagnostic tests used for the assessment of microvascular dysfunction are important topics highlighted in this book, which also includes useful clinical diagnostic algorithms, thus bringing this subject closer to the practicing cardiologist. This book thus represents a practical tool for the clinician and a bank of information and new ideas for research scientists and clinical researchers interested in understanding the causes and mechanisms of the condition.
Medicine.
Medicine/Public Health, general.