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European Heart Journal Advance Access originally published online on March 23, 2007
European Heart Journal 2007 28(9):1057-1065; doi:10.1093/eurheartj/ehl562
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Recurrent angina after coronary revascularization: a clinical challenge

Antonio Abbate1, Giuseppe G.L. Biondi-Zoccai2, Pierfrancesco Agostoni3, Michael J. Lipinski4 and George W. Vetrovec1,*

1 Division of Cardiology, West Hospital, Virginia Commonwealth University–VCU Pauley Heart Center, 1200 E, Marshall Street, PO Box 980036, Richmond, VA 23298-0036, USA
2 University of Turin, Turin, Italy
3 Antwerp Cardiovascular Institute Middelheim, AZ Middelheim, Antwerp, Belgium
4 University of Virginia, Charlottesville, VA, USA

Received 23 October 2006; revised 27 January 2007; accepted 1 February 2007; online publish-ahead-of-print 23 March 2007.

* Corresponding author. Tel: +1 804 6281215; fax: +1 840 6281215. E-mail address: gvetrovec{at}mcvh-vcu.edu

Coronary revascularization procedures by means of percutaneous coronary interventions or coronary artery bypass graft surgeries are performed worldwide daily for the symptomatic treatment of patients with myocardial ischaemia. Nevertheless, angina remains a significant clinical problem. Management of angina recurring or persisting after coronary revascularization is particularly challenging. This review attempts to summarize the most common causes of recurrent chest pain after coronary revascularization, to analyse the possible diagnostic approaches, and to discuss the potential treatment modalities.

Key Words: Angina • Revascularization • Percutaneous coronary intervention • Stent • Bypass surgery • Restenosis


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Home page
 Eur Heart JHome page
T. Gori and M. Fineschi
Recurrent angina and the problem of inadequate/inappropriate revascularization
Eur. Heart J., December 1, 2007; 28(23): 2951 - 2951.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
G. G.L. Biondi-Zoccai, A. Abbate, P. Agostoni, M. J. Lipinski, and G. W. Vetrovec
Recurrent angina and the problem of inadequate/inappropriate revascularization: reply
Eur. Heart J., December 1, 2007; 28(23): 2951 - 2952.
[Full Text] [PDF]


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