Document Detail

Can patients with chest pain and normal coronary arteries be discriminated from those with coronary artery disease prior to coronary angiography?
MedLine Citation:
PMID:  2705635     Owner:  NLM     Status:  MEDLINE    
To determine whether the precatheterization clinical data in patients with chest pain could be used to discriminate patients with normal coronary arteries (NCA) from those with coronary artery disease, the authors compared 125 consecutive patients with less than 30% stenosis of all major coronary arteries and 125 patients with greater than 60% stenosis of one or more major coronary arteries. Clinical characteristics that occurred more frequently in patients with NCA were: nonexertional pain, pain to the left of the sternum, sharp pain, associated palpitations, absence of typical relief with sublingual nitroglycerin, pain commencing less than one week or more than ten years prior to coronary angiography, a normal electrocardiogram, and negative results from a treadmill stress test or from thallium scintigraphy. However, none of these clinical features, either singly or in combination, could be used to identify the patients with NCA with certainty.
V Mukerji; M A Alpert; J E Hewett; B M Parker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  40     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-05-18     Completed Date:  1989-05-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  276-82     Citation Subset:  IM    
Department of Medicine, University of Missouri Health Sciences Center, Columbia.
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MeSH Terms
Angina Pectoris / complications*,  radiography
Coronary Angiography*
Coronary Disease / complications,  diagnosis*,  radiography
Exercise Test
Heart Catheterization
Middle Aged
Retrospective Studies

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