Defining Coronary Slow Flow

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Defining the coronary slow flow phenomenon.

he enigma of angina in the absence of significant epicardial coronary artery disease (CAD) has puzzled cardiologists since the advent of invasive coronary angiography. Indeed, an early paper by Likoff et al1 was entitled ‘Paradox of normal selective coronary angiograms in patients considered to have unmistakable coronary heart disease’ and described 15 women with angina, a positive exercise str...

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Evaluation of Electrocardiogram Changes in Patients with Slow Coronary Flow

Background: Slow coronary flow (SCF) is defined as a condition in which in spite of no evidence of coronary occlusion or stenosis in angiography, there is delayed pacification of the vessels after the injection of a contrast agent. There are several studies about electrocardiogram (ECG) changes in these patients, but changes like OLD MI, RBBB, LBBB, LVH and ST-T wave have not b...

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Coronary Slow Flow

oronary angiography (CAG) is the gold standard for diagnosis of coronary artery disease (CAD). Of all patients referred for angiography, up to 20% have normal coronary arteries.1,2 Though noncoronary causes of chest pain may be identified in this population with normal coronaries, it has long been recognized that angina may still be present. An example of this is cardiovascular syndrome X, a co...

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coronary slow flow phenomenon clinical findings and predictors

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Coronary slow flow phenomenon: an angiographic curiosity.

Cardiologists are familiar with the phenomenon of slow progression of angiographic contrast in the coronary arteries in the absence of stenosis in the epicardial vessels in some patients presenting with chest pain. The coronary slow flow phenomenon (CSFP), first described in 1972, remains scantily studied. This phenomenon should be distinguished from occurrence of slow flow in the context of co...

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ژورنال

عنوان ژورنال: Angiology

سال: 2021

ISSN: 0003-3197,1940-1574

DOI: 10.1177/00033197211007702