Lack of evidence for small vessel disease in a patient with ,,slow dye progression"︁ in the coronary arteries

A patient with chest pain of recent onset, suggestive for angina pectoris, was referred for diagnostic coronary angiography, which showed the typical phenomenon of „slow dye progression”︁ in the absence of any significant coronary artery stenosis. While intracoronary Doppler measurements confirmed t...

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Veröffentlicht in:Catheterization and cardiovascular diagnosis 1991-06, Vol.23 (2), p.117-120
Hauptverfasser: Van Lierde, Johan, Vrolix, Matty, Sionis, Dimitris, De Geest, Hilaire, Piessens, Jan
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container_end_page 120
container_issue 2
container_start_page 117
container_title Catheterization and cardiovascular diagnosis
container_volume 23
creator Van Lierde, Johan
Vrolix, Matty
Sionis, Dimitris
De Geest, Hilaire
Piessens, Jan
description A patient with chest pain of recent onset, suggestive for angina pectoris, was referred for diagnostic coronary angiography, which showed the typical phenomenon of „slow dye progression”︁ in the absence of any significant coronary artery stenosis. While intracoronary Doppler measurements confirmed the extremely slow blood flow velocity, the coronary flow reserve and the calculated coronary blood flow proved to be within normal range. The present findings suggest that, in contrast with a previous hypothesis, the phenomenon of slow dye progression may not always be due to a microvascular cause. Epicardial artery disease, as suggested by the marked coronary artery ectasia, may be linked to the slow dye progression and predispose to coronary artery thrombosis.
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subjects Biological and medical sciences
Blood Flow Velocity
Cardiology. Vascular system
Contrast Media
Coronary Angiography
coronary blood flow
Coronary Circulation
Coronary Disease - diagnostic imaging
Coronary Disease - physiopathology
coronary flow reserve
Coronary heart disease
Coronary Vessels - diagnostic imaging
Heart
Humans
Male
Medical sciences
Middle Aged
slow dye progression
Ultrasonography
title Lack of evidence for small vessel disease in a patient with ,,slow dye progression"︁ in the coronary arteries
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