Angina Pectoris with Normal Coronary Arteries: Syndrome X

1. Front Matter

   Pages i-xi

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2. Chest Pain With Normal Coronary Arteriograms: Clinical Features And Prognosis

   1. Syndrome X: A Heterogeneous Syndrome. Historical Background, Clinical Presentation, Electrocardiographic Features, And Rational Patient Management. An Overview

      • Juan Carlos Kaski

      Pages 1-18

   2. Prognosis And Therapy In Patients With Angina And Normal Coronary Arteriograms

      • Harvey G. Kemp Jr.

      Pages 19-29

   3. Chest Pain With Normal Coronary Arteriograms: Oesophageal Abnormalities — The Gastroenterologist’s View

      • John S. de Caestecker

      Pages 31-64

   4. Chest Pain With Normal Coronary Arteries: Psychological Aspects

      • Stephen G. Potts, Christopher Bass

      Pages 65-88

   5. Chest Pain And Angiographically Normal Coronary Arteries In Patients With Systemic Hypertension And Left Ventricular Hypertrophy: Mechanisms

      • Wolfgang Motz, Bodo E. Strauer

      Pages 89-109

   6. Syndrome X: A Non-Ischaemic Syndrome? — “False Positive” ST-Segment Shifts, Ischaemia, Myocardial Perfusion Abnormalities And Increased Sensitivity To Pain In Syndrome X

      • Philip A. Poole-Wilson

      Pages 111-123

   7. Syndrome X — An Early Form Of Cardiomyopathy?

      • Wolfgang Kübler, Gerhard Schuler

      Pages 125-136

3. Syndrome X And Microvascular Angina — Abnormal Coronary Blood Flow Reserve

   1. Microvascular Angina

      • Richard O. Cannon III

      Pages 137-148

   2. Studies Of Coronary Blood Flow And Myocardial Metabolism In Patients With Chest Pain And Angiographically Normal Coronary Arteries

      • Paolo G. Camici

      Pages 149-164

   3. Critical View Of The Concept Of Coronary Flow Reserve. Advantages And Disadvantages Of The Current Methods Used For The Assessment Of Coronary Flow Reserve In The Clinical Setting

      • Antonio L’Abbate

      Pages 165-174

   4. The Coronary Microcirculation In Patients With Normal Coronary Arteries And Symptoms Of Chest Pain — Myocardial Blood Flow Rate, Capillary Permeability And Interstitial Diffusion

      • Stig Haunsø, Jesper Hastrup Svendsen

      Pages 175-192

4. Angina With Normal Coronary Arteriograms — Pathogenetic Hypotheses

   1. Prearteriolar Coronary Constriction In Pathogenesis Of Syndrome X. Role Of Adenosine

      • Gaetano A. Lanza, Giuseppe MC Rosano, Attilio Maseri

      Pages 193-210

   2. Abnormal Neurohumoral Control In Pathogenesis Of Syndrome X

      • Giuseppe MC Rosano, Juan Carlos Kaski

      Pages 211-224

   3. Epicardial Coronary Artery Responses In Patients With Angina And Normal Coronary Arteriograms

      • Raffaele Bugiardini, Alberico Borghi, Andrea Pozzati

      Pages 225-235

   4. Endothelial Dysfunction In Patients With Angina And Normal Coronary Arteriograms

      • Peter Collins

      Pages 237-247

   5. Role Of Oestrogen Deficiency In Women With Syndrome X

      • Philip M. Sarrel

      Pages 249-265

   6. Summary, Conclusions And Future Perspectives

      • Andrew H. Henderson

      Pages 267-282

5. Back Matter

   Pages 283-289

   PDF

Angina pectoris with normal coronary arteriograms is a common entity which has puzzled cardiologists almost since the advent of coronary arteriography. Despite major advances in the understanding of the pathophysiology of angina in recent years and a multitude of studies on the subject, the cause and mechanisms underlying the syndrome of angina with normal coronary arteries remain unknown. Indeed, results of investigations are controversial and speculation still prevails regarding the nature of the so called `Syndrome X'.
Almost every important aspect of Syndrome X has been tackled in the book and the reader is exposed not only to the cardiologists' opinion, but also to the authoritative views of the gastroenterologists, gynaecologists and psychiatrists, extremely well represented in this monograph. The book deals with `cardiologists' Syndrome X' and not the metabolic entity termed `Syndrome X'. The possible connection between the two, however, is discussed.
Angina with Normal Coronary Arteries: Syndrome X contributes to the understanding of Syndrome X and helps clinicians manage their Syndrome X-patients better and investigators to open new avenues for research.

• angina pectoris
• artery
• circulation
• hypertension
• physiology

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