Extent of Coronary Disease in Patients with Atypical Chest Pain; Are Psychological Variables Helpful?
At coronary arteriography, a large proportion of patients (10–30%) have normal or minimal coronary artery disease1. These trends continue despite the highly technical approaches to the diagnosis of coronary artery disease2. Previous studies have demonstrated that a disproportionate number, although not all, of these patients have psychologic or social disturbance3,4. However, psychopathology is not always useful to separate patients without coronary disease from those with coronary disease because a significant proportion of patients with atypical pain have coronary disease without psychological or social disturbance. Conversely, typical anginal patients with moderate to severe coronary disease can have increased psychosocial disturbance.
KeywordsChest Pain Angina Pectoris Coronary Disease Coronary Occlusion Coronary Arteriography
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