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Symptoms and Signs – Differential Diagnosis of Myocardial Ischemia
• “Functional” causes of myocardial ischemia in absence of anatomic coronary artery disease: syndrome X, hypertrophic cardiomyopathy, dilated cardiomyopathy, muscle bridge, hypertensive heart disease, pulmonary hypertension, valvular heart disease; aortic stenosis, aortic regurgitation
• Aberrant origin of coronary artery from aorta or another coronaryartery
• Acquired disorders of coronary arteries
• Anomalous origin of coronary artery from pulmonary artery
• Atherosclerotic obstructive coronary artery disease
• Collagen-vascular disease: polyarteritis nodosa, temporal arteritis, rheumatoid arthritis, systemic lupus erythematosus, scleroderma
• Congenital coronary artery anomalies
• Coronary arteriovenous fistula
• Coronary artery aneurysm
• Coronary artery embolism
• Coronary artery spasm
• Dissection: surgical, during percutaneous coronary angioplasty, aortic dissection, spontaneous (e.g., during pregnancy)
• Extrinsic compression: tumors, granulomas, amyloidosis
• Hereditary disorders: pseudoxanthoma elasticum, gargoylism, progeria, homocystinuria, primary oxaluria
• Miscellaneous disorders: irradiation, trauma, Kawasaki’s disease
• Nonatherosclerotic coronary artery disease
• Syphilis
• “Functional” causes of myocardial ischemia in absence of anatomic coronary artery disease: syndrome X, hypertrophic cardiomyopathy, dilated cardiomyopathy, muscle bridge, hypertensive heart disease, pulmonary hypertension, valvular heart disease; aortic stenosis, aortic regurgitation
• Aberrant origin of coronary artery from aorta or another coronaryartery
• Acquired disorders of coronary arteries
• Anomalous origin of coronary artery from pulmonary artery
• Atherosclerotic obstructive coronary artery disease
• Collagen-vascular disease: polyarteritis nodosa, temporal arteritis, rheumatoid arthritis, systemic lupus erythematosus, scleroderma
• Congenital coronary artery anomalies
• Coronary arteriovenous fistula
• Coronary artery aneurysm
• Coronary artery embolism
• Coronary artery spasm
• Dissection: surgical, during percutaneous coronary angioplasty, aortic dissection, spontaneous (e.g., during pregnancy)
• Extrinsic compression: tumors, granulomas, amyloidosis
• Hereditary disorders: pseudoxanthoma elasticum, gargoylism, progeria, homocystinuria, primary oxaluria
• Miscellaneous disorders: irradiation, trauma, Kawasaki’s disease
• Nonatherosclerotic coronary artery disease
• Syphilis
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