Ramanand Prasad Sinha
Patients with cardiac Syndrome X defined as typical chest pain associated with electrocardiographic changes suggestive of transient myocardial ischaemia, despite normal coronary angiograms, constitutes diagnostic and therapeutic challenges. Syndrome X is not a “rare syndrome”, as up to 30% of patients undergoing diagnostic angiography for the assessment of typical chest pain are found not to have obstructive coronary artery disease. Various mechanisms were explained for inducible ischaemia in Syndrome X population. One of hypothesis that ischaemia at watershed zone of two coronary vessels is one of contributory factors for myocardial ischaemia. In this study we define various TMT parameters which predict normal coronary angiogram in TMT positive population.
