MY APPROACH to Chest Pain With Normal Coronary Arteries

[...]if no ischemia is evident by stress cardiac MRI, in addition to reassurance I may try a combination of a beta blocker and imipramine to reduce pain symptoms and encourage regular aerobic exercise to promote wellness. [...]a report of "normal coronary arteries" following angiography do...

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Bibliographic Details
Published inTrends in cardiovascular medicine Vol. 26; no. 4; pp. 391 - 392
Main Author Cannon, Richard O, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2016
Elsevier Limited
Subjects
Angina pectoris
Cardiovascular
Cardiovascular disease
Coronary Angiography
Coronary vessels
Coronary Vessels - diagnostic imaging
Diabetes
Exercise
Heart attacks
Humans
Ischemia
Medical imaging
Microvascular Angina - diagnostic imaging
Microvascular Angina - etiology
Microvascular Angina - therapy
Pain
Predictive Value of Tests
Prognosis
Risk Factors
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Summary:[...]if no ischemia is evident by stress cardiac MRI, in addition to reassurance I may try a combination of a beta blocker and imipramine to reduce pain symptoms and encourage regular aerobic exercise to promote wellness. [...]a report of "normal coronary arteries" following angiography does not mean that the epicardial arteries are free of atherosclerosis, which, although not flow limiting and causative of ischemia, may increase risk for future cardiovascular events.
Bibliography:ObjectType-Article-1
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ISSN:1050-1738
1873-2615
DOI:10.1016/j.tcm.2015.06.010