| Coronary slow flow phenomenon: description of three cases evaluated with myocardial perfusion scintigraphy. | |
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MedLine Citation:
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PMID: 15902934 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The coronary slow flow phenomenon (CSFP) is an angiographic finding characterized by delayed opacification of the epicardial coronary arteries in the absence of significant stenosis, spasm, dissection or thrombus. Although this poorly understood phenomenon received little attention, patients with CSFP at coronary angiography often suffer from recurrent episodes of chest pain, sometimes occurring during an acute coronary syndrome. We describe 3 cases of patients with CSFP who complained of recurrent chest pain; in one of them an episode of chest pain was so severe as to bring the patient to the emergency department. Indeed, in all our 3 cases myocardial ischemia was evaluated on the basis of a positive myocardial scintigraphy result. In conclusion, it is suggested that CSFP may be an acute and recurrent perturbation of microvascular function with an often severe impairment of quality of life. Myocardial perfusion scintigraphy might help for an accurate assessment of myocardial ischemia in such patients. |
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Authors:
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Salvatore Azzarelli; Carmelo Grasso; Alfredo R Galassi; Corrado Tamburino |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Italian heart journal : official journal of the Italian Federation of Cardiology Volume: 6 ISSN: 1129-471X ISO Abbreviation: Ital Heart J Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-05-20 Completed Date: 2005-08-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100909716 Medline TA: Ital Heart J Country: Italy |
Other Details:
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Languages: eng Pagination: 341-4 Citation Subset: IM |
Affiliation:
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Cardiovascular Department, Cannizzaro Hospital, Italy. azzarelli.s@tiscali.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Flow Velocity / physiology* Chest Pain / diagnosis, etiology Coronary Angiography Coronary Circulation / physiology Coronary Vasospasm / radiography, radionuclide imaging Exercise Test Female Follow-Up Studies Humans Male Middle Aged Myocardial Ischemia / physiopathology*, radiography, radionuclide imaging* Radionuclide Imaging* Recurrence Risk Assessment Sampling Studies Sensitivity and Specificity Severity of Illness Index Thallium Radioisotopes / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Thallium Radioisotopes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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