@MISC{Marwick05editorialischaemia, author = {Thomas H. Marwick}, title = {Editorial Ischaemia and outcome with normal coronary arteries}, year = {2005} }
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Abstract
This editorial refers to ‘Long-term survival of patients with chest pain syndrome and angiographically normal or near-normal coronary arteries: the additional prognos-tic value of dipyridamole echocardiography test’ † by R. Sicari et al., on page 2136 Despite attempts to optimize patient selection for coronary angiography based on the clinical history and results of stress testing, the rate of normal coronary angiography in most laboratories ranges from 10 to 20%, more in women than in men.1 These patients generally have a good outcome, although many continue to complain of chest pain and some suffer cardiac events.2 Although traditionally considered a failing of clinical evaluation or stress test interpretation, these ‘false positive ’ stress results may be due to one or more pathophysiological entities that do not