Abstract

Coronary slow flow (CSF) phenomenon, which is characterized by delayed opacification of epicardial coronary arteries in the absence of stenotic lesion, is a relatively common finding in patients undergoing routine coronary angiography and is often associated with chest pain. There are no definite treatment modalities for patients with CSF to date, and conventional antianginal therapy is of limited value in the chronic management of these patients. Enhanced external counterpulsation (EECP) has become one of the most effective noninvasive treatment methods for patients with refractory angina [1], and has been considered a new modality in management of cardiac syndrome X [2,3], whether it is effective for treating CSF remains unclear.

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