Background: Normal coronary angiogram following abnormal exercise stress test puts patients at higher risk of developing future coronary heart disease. Even with no occlusion in coronary arteries, patients are at risk of recurring coronary events such as myocardial infarction and death. However, research performed at the University of Bologna suggests that those with non-obstructive coronary disease are still at high risk for future cardiac events.
Aim of study: is to study the demographic clinical and biochemical profile of patients with angina, positive exercise treadmill test and normal coronary angiogram and to determine the incidence of cardiac syndrome X in study population
Materials and Methods: Study conducted in Department of Cardiology, Sri Ramachandra Medical College and Research Institute, Chennai, This is a Cross Sectional study done from period March 2014 to February 2015. Selection of study population - Total sample size N = 253,Divided into 2 study groups, Group 1( N=108) male TMT positive normal CAG patients satisfying inclusion and exclusion criteria, Group 2(N=145) female TMT positive normal CAG patients satisfying inclusion and exclusion
Statiscal Analysis: Continuous variables were analysed with the unpaired t test and categorical variables were analysed with Fisher Exact Test. Multiple logistic regression was used to assess the independent relation between risk factors and outcomes of the study. The data was analysed using SPSS Version 16.
•Higher incidence of Treadmill Test positive and normal Coronary Angiogram are found in younger age especially women with no effect of Smoking, alcoholism, family history of Coronary Artery Disease, physical activity and BMI
•The incidence of Diabetes, Hypertension, Dyslipedemia, Atypical Angina were higher in women with Treadmill test Positive and normal Coronary Angiogram.
Prof. Dr. Bilal BİLGİN