Tag: coronary provocative testing

Research

Beyond Structural Angiography: The Emergence of Functional Coronary Angiography*

The evaluation of stable chest pain suspected to be cardiac in nature has traditionally involved the use of a screening noninvasive investigation, with invasive selective coronary angiography being the benchmark investigation.

Moreover, if the noninvasive investigation implicates the presence of myocardial ischemia (ie, new ischemic electrocardiographic [ECG] changes, perfusion defect, or regional wall abnormality) and the invasive coronary angiogram shows no evidence of obstructive coronary artery disease (CAD), then the noninvasive investigation is considered a false positive and the patient receives a diagnosis of “noncardiac chest pain.”

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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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Sandra’s story

My story began in January 2010, while sitting at a traffic light returning to the office. I was working as a home health physical therapist. I began having chest pain out of nowhere. I got to my office and my boss, an RN, asked me if I was OK. I told her about the chest pain. By then it was starting to progress down my left arm. She took my blood pressure, normally 98/68. It was 140/90. She called my husband and told him to meet me at the ER. I drove myself there. They ran the normal tests and diagnosed me with costochondritis. Pain meds made the symptoms go away. The pain came back six times in the next 6 months. I asked for a cardiologist referral, but was denied, due to my age (39), lack of family history, and being in shape.

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Natsuko’s story

At 4am, I woke up in the dark with crushing chest pain, nausea, shortness of breath, and pain radiating to my left arm and jaw. I was terrified. You would think that such symptoms would lead to a quick diagnosis. But as a young woman in my 20s who looked “healthy,” my journey to finally being diagnosed with Microvascular Angina was anything but easy.

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