Cardiac syndrome X: relevance of arterial pressure waveform analysis to patients with chest pain and normal coronary arteries

Abstract

We report the case study of a 68-year-old female with cardiac syndrome X presenting with abnormal pressure waveforms and a hypertensive response to exercise with ST-segment depression. After amlodipine treatment, pressure waveform morphology was significantly improved, exercise testing was normal and symptoms had resolved. This case emphasizes the potential clinical value of arterial waveform analysis. About 20% of patients with chest pain and electrocardiographic (ECG) evidence of ischaemia Figure 1 Coronary artery angiograms of the left anterior descending (a) and right coronary artery (b), showing no significant disease.

DOI: 10.1038/sj.jhh.1002010

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@article{Sharman2006CardiacSX, title={Cardiac syndrome X: relevance of arterial pressure waveform analysis to patients with chest pain and normal coronary arteries}, author={James E Sharman and Robert B. Lim and Thomas Hugh Marwick}, journal={Journal of Human Hypertension}, year={2006}, volume={20}, pages={473-474} }