Patients who come to the clinic with signs similar to a heart attack, had not enough chances of chest pain, if the scan returned clear, without symptoms of blockage of the coronary arteries. Some of these cases are caused by a little-known appearance, called coronary unhurried course. Now scientists from Jefferson (Philadelphia Institute + Thomas Jefferson Institute) for the first time showed a simple technique of effective healing of this underestimated state. They released their own results in the journal of invasive cardiology on December 15.

"One of the biggest problems with coronary slow flow is that almost all cardiologists are not familiar with it and do not understand what to find in order to diagnose it," said senior Creator Michael savage, doctor of medical Sciences, Director of the Laboratory of cardiac catheterization at the Sydney Kimmel medical Institute at the Thomas Jefferson Institute. "Here we have recommended, in fact, that as soon as you ask this, the situation is possible to heal with the support of the existing and non-dangerous med intervention, which directs the delem back."

On slow coronary flow knows a few. It is identified by the angiogram of the heart, identifying arteries that are filled with blood more slowly than usually, including the inaccessibility of fatty deposits of plaque. But actually what's causing this situation, and why in 80 percent of cases, patients feel supporting episodes of chest pain, still unclear. 1 of the associations that has the ability to be painted, talking 1st Creator Hetal H. Mehta, a doctor of medical science, a cardiologist at Jefferson, is actually that smokers are two to three times more likely to feel this appearance.

When the physician savage and others first noticed the position on the angiograms of their own patients, it was similar to the appearance of no-reflow, caused by a spasm of microvessels during coronary angioplasty procedures. Because this position was possible to treat products under the title nicardipine, physician savage and his colleague decided to test it with their own coronary patients with a slow course. "It worked incredibly well," he said.

In the presented study, researchers studied the data and finals of 30 patients with a leisurely coronary course, who were healed by cardiac catheterization with intracoronary injection of nicardipine . They saw in joint difficulties 49 blood vessels with slow blood flow. Subsequently, the healing of nicardipine all vessels have recommended normalized blood flow.

"These results demonstrate, in fact, that microvascular spasm has the ability to be responsible for this position, which has the ability to be effectively postponed with the support of a calcium channel blocker, such as nicardipine," said doctor savage. "It's a simple intervention that takes only a few seconds to steer, and can help diagnose the situation and heal it at the same time."

See, actually what directs nicardipine condition in the short-term opportunities, but the future for this important study in order to explore does a one-time treatment condition every day, or would take benefit of patients of the long-term usefulness of oral blocker calcium channel.