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Chest Pain with Normal Coronary Angiograms: Pathogenesis, Diagnosis and Management

  • Book
  • © 1999

Overview

Editors:
  1. Juan Carlos Kaski

    1. St George’s Hospital Medical School, London, UK

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Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 213)

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Table of contents (28 chapters)

  1. Front Matter

    Pages i-xvii
    Download chapter PDF

  2. Cardiac Syndrome X and Microvascular Angina

    • Juan Carlos Kaski
    Pages 1-12

  3. Chest Pain with Normal Coronary Arteries: Psychological Aspects

    • Steve G. Potts, Christopher Bass
    Pages 13-32

  4. Esophageal Chest Pain

    • John S. de Caestecker
    Pages 33-47

  5. Esophageal Abnormalities and “Linked-Angina” in Syndrome X

    • Anoop Chauhan
    Pages 49-60

  6. Abnormal Pain Processing in Syndrome X

    • Ole Frøbert, Lars Arendt-Nielsen, Jens Peder Bagger
    Pages 61-67

  7. Insights into the Pathophysiology of Syndrome X Obtained Using Positron Emission Tomography (PET)

    • Stuart D. Rosen, Paolo G. Camici
    Pages 69-80

  8. Myocardial Metabolism in Cardiac Syndrome X

    • Jens Peder Bagger
    Pages 81-89

  9. Endothelial Dysfunction in Cardiac Syndrome X (Microvascular Angina)

    • Kensuke Egashira, Masahiro Mohri, Akira Takeshita
    Pages 91-99

  10. Endothelin: An Important Mediator in the Pathophysiology of Syndrome X?

    • Ian D. Cox, Juan Carlos Kaski
    Pages 101-114

  11. Estrogen Deficiency and Syndrome X

    • Peter Collins
    Pages 115-122

  12. Alternative Mechanisms for Myocardial Ischemia in Syndrome X - New Diagnostic Markers

    • Filippo Crea, Antonio Buffon, Achille Gaspardone, Gaetano Lanza
    Pages 123-133

  13. Increased Plasma Membrane Ion-Leakage: A New Hypothesis for Chest Pain and Normal Coronary Arteriograms

    • Anders Waldenström, Gunnar Ronquist
    Pages 135-142

  14. A Possible Cell Membrane Defect in Chronic Fatigue Syndrome and Syndrome X

    • Walter S. Watson, Abhijit Chaudhuri, Georgina T. McCreath, Peter O. Behan
    Pages 143-149

  15. The Changing Concept of Syndrome X

    • Attilio Maseri, Gaetano Antonio Lanza, Antonino Buffon
    Pages 151-158

  16. Assessment of Coronary Blood Flow Reserve - Techniques and Limitations

    • Antonio L’Abbate
    Pages 159-170

  17. The Role of Echocardiography in Diagnosis and Management of Cardiac Syndrome X

    • Petros Nihoyannopoulos
    Pages 171-180

  18. Imaging in Microvascular Angina - What’s New ?

    • Ann Tweddel
    Pages 181-185

  19. Assessment of Quality of Life in Patients with Syndrome X

    • Felipe Atienza, José A. De Velasco
    Pages 187-194

  20. Treatment of Patients with Angina and Normal Coronary Arteriograms

    • Giuseppe M. C. Rosano, Gabriele Fragasso, Sergio L. Chierchia
    Pages 195-201
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Keywords

About this book

This book is timely and challenging. Within its pages are commentaries and opinions on the scientific background and explanatory ideas for a complex of symptoms and investigations known as syndrome X. The commonest cause by far of angina pectoris is coronary artery obstruction due to atheromatous lesions both within the wall of the artery and intruding into the lumen; in such patients it is expected that there maybe ST segment depression on atrial pacing or on an exercise test indicating myocardial ischemia. Syndrome X was a term first used in an editorial written by Kemp in 1973. He was referring to patients in group X in a paper from Arbogast and Bourassa. Patients in group X had three features, namely angina as judged on a clinical history, alterations of the ST segment on the electrocardiogram during atrial pacing and smooth unobstructed coronary arteries (presumed normal) as assessed by the technique of coronary angiography. The changes on the electrocardiogram, conventionally indicative of myocardial ischemia, could not be explained on the basis of any abnormality of the coronary arteries and Kemp named the complex of fmdings syndrome X because of this seeming paradox and the lack of a single explanation. In the last thirty-one years there has been substantial scientific interest in this syndrome giving rise to a large number of publications. The name syndrome X has led to considerable confusion. Physicians are familiar with the X chromosome and with X linked congenital disorders.

Editors and Affiliations

  • St George’s Hospital Medical School, London, UK

    Juan Carlos Kaski

Bibliographic Information

  • Book Title: Chest Pain with Normal Coronary Angiograms: Pathogenesis, Diagnosis and Management

  • Editors: Juan Carlos Kaski

  • Series Title: Developments in Cardiovascular Medicine

  • DOI: https://doi.org/10.1007/978-1-4615-5181-2

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer Science+Business Media New York 1999

  • Hardcover ISBN: 978-0-7923-8421-2Published: 28 February 1999

  • Softcover ISBN: 978-1-4613-7360-5Published: 11 October 2012

  • eBook ISBN: 978-1-4615-5181-2Published: 06 December 2012

  • Series ISSN: 0166-9842

  • Edition Number: 1

  • Number of Pages: XVII, 308

  • Topics: Cardiology

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