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Home > West Medicine > Internal Medicine > Cardiology
I20.802

Cardiac Syndrome X

心内科

Common symptoms

菱形-现象、胸痛、不稳定性心绞痛、微血管心绞痛、抑郁

The pathology of disease

Cardiac syndrome X is typical angina with objective ischemia but normal/no-obstructive epicardial coronary arteries, due to microvascular dysfunction/endothelial dysfunction, more common in women. Treatment: reassurance; beta-blockers (first-line), add CCB/nitrates; treat risk factors (HTN/diabetes/lipids); statins; usually benign long-term prognosis but symptoms may persist.

Common Symptoms

Typical angina; normal epicardial coronaries; objective ischemia; more common in women

Causes and Pathogenesis

Coronary microvascular/endothelial dysfunction causes ischemia without epicardial stenosis.

Treatment

Reassurance; BB first-line, add CCB/nitrates; treat risk factors; statin

Preventive Measures

Risk-factor control; reassurance; follow-up.

Department to Visit

It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.