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Coronary Reserve and Angina Therapy

  • M. Iriarte Ezkurdia
  • J. M. Aguirre Salcedo
  • J. Boveda Romeo
  • E. Molinero de Miguel
  • J. Urrengoetxea Martinez
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 81)

Abstract

Several studies have confirmed that patients with vasospastic angina have a variable ischemia threshold for exercise [1–3]. In our group, Molinero has demonstrated [4, 5] that variable ischemia threshold, identified by different serial electrocardiographic effort tests, is frequent (12/20 cases) in patients with angina at rest and with exertion (mixed angina). Servi [1] identified a significant increment in exercise tolerance and regional coronary flow after administration of nifedipine in patients with effort angina and variable electrocardiographic threshold. Parting from these findings, our study had a double objective:
  1. a)

    identification of the vasospastic component of effort angina by evaluating coronary reserve, and

     
  2. b)

    appraisal of the therapeutic value of identifying this component.

     

Keywords

Coronary Flow Coronary Blood Flow Effort Test Variable Threshold Coronary Artery Spasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1988

Authors and Affiliations

  • M. Iriarte Ezkurdia
  • J. M. Aguirre Salcedo
  • J. Boveda Romeo
  • E. Molinero de Miguel
  • J. Urrengoetxea Martinez

There are no affiliations available

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