Angina Pectoris with Normal Coronary Arteries: Syndrome X

Abstract

Preface. 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 J.C. Kaski. 2. Prognosis and therapy in patients with angina and normal coronary arteriograms H. Kemp. 3. Chest pain with normal coronary arteriograms: Oesophageal abnormalities -- The gastroenterologist's view J. de Caestecker. 4. Chest pain with normal coronary arteriograms: Psychological aspects S.G. Potts, C. Bass. 5. Chest pain and angiographically normal coronary arteries in patients with systemic hypertension and left ventricular hypertrophy. Mechanisms W. Motz, B.E. Strauer. 6. Syndrome X: A non-ischemic syndrome? 'False positive' ST-segment shifts, ischaemia, myocardial perfusion abnormalities and increased sensitivity to pain in syndrome X P. Poole-Wilson. 7. Syndrome X -- An early form of cardiomyopathy? W. Kubler, G. Schuler. Syndrome X and Microvascular Angina -- Abnormal Coronary Blood Flow Reserve. 8. Microvascular angina R.O. Cannon III. 9. Studies of coronary blood flow and myocardial metabolism in patients with chest pain and angiographically normal coronary arteries P.G. Camici. 10. 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 A. L'Abbate. 11. The coronary microcirculation in patients with normal coronary arteries and symptoms of chest pain. Myocardial blood flow rate, capillarypermeability and interstitial diffusion S. Haunso, J.H. Svendsen. Angina with Normal Coronary Arteriograms -- Pathogenetic Hypotheses. 12. Pre-arteriolar coronary constriction in pathogenesis of syndrome X. Role of adenosine. A. Maseri. 13. Abnormal neurohumoral control in pathogenesis of syndrome X G.M.C. Rosano, J.C. Kaski. 14. Epicardial coronary artery responses in patients with angina and normal coronary arteriograms R. Bugiardini, A. Borghi, A. Pozzati. 15. Endothelial dysfunction in patients with angina and normal coronary arteriograms P. Collins. 16. Role of oestrogen deficiency in women with syndrome X P. Sarrel. 17. Summary, conclusions and future perspectives A. Henderson. Index.