Abstract

FORTICH HOYOS, Fernando Manuel; GIRALDO MENDEZ, Diana Patricia; OLIVEROS NAVARRO, Aida Yurley  and  DELGADO RESTREPO, Juan Andrés. Clinical and paraclinical characterization of patients with normal coronariography at the San Vicente de Paul University Hospital, 2000- 2003. Iatreia [online]. 2005, vol.18, n.2, pp.131-140. ISSN 0121-0793.

Objective: To describe the clinical and paraclinical characteristics of patients with normal coronariography, or who do not present significant coronary stenosis. Design: Descriptive, retrospective. Methods: The medical histories were reviewed and the following data were registered: demographic and clinical aspects, lipid profile, electrocardiogram, echocardiography, test of effort, coronariography with its relevant complications. Results: Of the 1752 coronariographies made by suspicion of coronary disease, 167 (9.5%) were normal; of these, 101 (60.5%) were in women. Cardiac pain was typical in 50% of men and atypical in 53.5% of women. High blood pressure was present in 73%, hypothyroidism in 7.2%, unstable angina in 61.7%; 38 patients (22.8%) had suffered from heart attack, and 28.8% had a possible X cardiac syndrome. The level of triglycerides was lower in patients that had suffered a heart attack (p<0.001). Only 3 patients (1.8%) suffered complications from coronariography. Conclusions: A proportion of 9.5% of the coronariographies made at the San Vicente de Paul University Hospital, suspecting a coronary artery disease, were normal, without significant stenosis. Most of the patients were women, housewives, of mixed race, with hypertension and atypical angina pain, who had never smoked; there had been no previous cases of coronary artery diseases in their families.

Keywords : angina; coronariography; dislipidemy; heart attack; normal coronaries.

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