Clinical and Laboratory Evaluation of the Patients With Chest Pain and Normal Coronary Arteries

Saide AYTEKİN, Vedat AYTEKİN, Deniz GÜZELSOY, Muzaffer ÖZTÜRK,Cemi Demiroğlu

İstanbul Üniversitesi, Kardiyoloji Enstitisü, İstanbul

We evaluated the clinical and laboratory results of 109 patients with chest pain and normal coronary arteries retrospectively. 64 (59%) of patients were male, 45 (41%) were female and the mean age was 42±10 (24-65).

After the evaluation of the history, clinical and laboratory findings, we detected a noncoronary cause in 76 (70%) out of 109 patients.

We detected peptic ulcus in 8 (7%), hiatal hernia in 2 (2%), cholecystectomy in 2 (2%), myalgia in 2 (2%), cervical artrosis in 5 (5%), fibrotic sequele of pulmonary tuberculosis in 2 (2%), pleural effusion sequele in 2 (2%), pneumectomy in 2 (2%), chronic obstructive pulmonary disease in 1 (1%), haemothorax sequele in 1 (1%), psychonevrosis in 3 (3%), mitral stenosis in 1 (1%), mitral prolapsus in 5 (5%), calcified aortic stenosis in 1 (1%), cardiomyopathy in 11 (10%) and hypertension in 24 (22%) patients as a non-coronary cause. In 33 (30%) patients there were no cause for the chest pain.

As a result, we concluded that the non coronary causes of chest pain have to be evaluated carefully before angiography, to prevent the time and economic loss.

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