Tag: coronary function testing

Research

Coronary function testing vs angiography alone to guide treatment of...

Introduction

The diagnostic and therapeutic approach for patients with chronic coronary syndromes (CCS) is evolving from a simplistic approach focused on diagnosis and treatment of obstructive epicardial coronary artery disease (CAD) to include a comprehensive assessment of the functional status of the coronary circulation to assess causes of angina with non-obstructive coronary arteries (ANOCA).

ANOCA is present […]

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Research

Impact of Nitroglycerin Administration on Acetylcholine Provocation Testing in Angina...

Introduction

Nearly half of all patients undergoing coronary angiography for stable angina are found to have nonobstructive coronary arteries. Invasive coronary function testing (CFT), using acetylcholine (ACh) to diagnose coronary artery spasm (CAS) and a pressure-temperature sensing guide wire to evaluate for coronary microvascular dysfunction (CMD), is considered the gold standard for evaluating patients with angina with […]

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Around The World

Real Patient Stories

Charlotte’s story

While at work in September 2014, I lost vision of my left eye and had terrible feeling of “heat” all over the left side of my body.

The ER ophthalmologist directed me to cardiology for a vascular problem.

A week later, I could not walk 100 meters (325 feet) without crushing chest pain and shortness of breath.

I was no longer functional. Making my bed was all I could do in a whole day. I was no longer an active 54-year-old.

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Arthur’s story

My name is Arthur. I am a Scot but have lived in London for nearly forty years.

In 2014, I had my first heart attack. In the following six years, I went to A&E at least twice a year. Every time, I was sent home and was told it was reflux.

My own doctor in about 2015/16 put me on half an angina pill. When I was in hospital, I was told by the cardiology doctors that I did not need it as I never had angina at all.

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Mary’s story

First came the headaches – worse than migraines – then the shortness of breath and having to lay down after crossing the room.

Five months after my symptoms began, I was diagnosed with a 99% blockage in my LAD and 99% blockage in an artery branch off that.

I was stented and, in doing so, they jailed an artery. I was given Metoprolol and I got worse.

I underwent another Angiogram, and all was fine, so they changed my medication and I began to use my Nitro more.

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