Clinical settings with anginal pain, outside the ACS

Clinical settings with anginal pain, outside the ACS 

Here we are referring Tables 6.1-2, p. 197), to situations in which patients generally refer stable exertional anginal pain or, to certain situations, which, though they sometimes may present as an ACS, generally does not lead to urgent hospitalisation of patients. However, it is necessary to evaluate the situation as soon as possible, firstly to confirm if the pain is ischaemic in nature and secondly to know the pathophysiological explanation in order to decide which is the best therapeutic approach. 

This syndrome is defined as a chest pain frequently of anginal characteristics that is related to small-vessel disease, in the absence of atherosclerotic lesions. It is more frequently seen in the female population, and probably but not always ischaemia is the origin of the chest pain (Kaski, 2004). 

This is an anomaly of the course of the coronary arteries, especially the LAD, which partly penetrates epicardial muscular mass. It is frequently, though 

Among the other causes that may induce chronic exercise anginal pain are the following  

---

CHAPTER 11 Clinical settings with anginal pain, outside the ACS 299... 

---