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Letter to the Editor| Volume 180, P55-57, February 01, 2015

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Effects of patients anxiety and depression scores on coronary flow in patients with normal coronary arteries

Published:November 25, 2014DOI:https://doi.org/10.1016/j.ijcard.2014.11.153
      Coronary slow flow phenomenon first described by Tambe et al. in 1972, is a coronary microvascular disorder characterized by the delayed passage of contrast in the absence of obstructive epicardial coronary disease [
      • Tambe A.A.
      • Demany M.A.
      • Zimmerman H.A.
      • Mascarenhas E.
      Angina pectoris and slow velocity of dye in coronary arteries—a new angiographic finding.
      ,
      • Beltrame J.F.
      • Limaye S.B.
      • Wuttke R.
      • Horowitz J.D.
      Coronary hemodynamic and metabolic studies of the coronary slow flow phenomenon.
      ]. Quantitatively, it is measured as increased Thrombolysis in Myocardial Infarction (TIMI) frame count. TIMI frame count, introduced by Gibson [
      • Gibson C.M.
      • Cannon C.P.
      • Daley W.L.
      • Dodge Jr., J.T.
      • Alexander Jr., B.
      • Marble S.J.
      • McCabe C.H.
      • Raymond L.
      • Fortin T.
      • Poole W.K.
      • Braunwald E.
      TIMI frame count: a quantitative method of assessing coronary artery flow.
      ], is a reproducible index of coronary flow. Although the exact processes are not known well yet, microvascular dysfunction or abnormal vasomotion is one of the most forthcoming mechanism underlying SCF phenomenon [
      • Beltrame J.F.
      • Limaye S.B.
      • Wuttke R.
      • Horowitz J.D.
      Coronary hemodynamic and metabolic studies of the coronary slow flow phenomenon.
      ,
      • Mangieri E.
      • Macchiarelli G.
      • Ciavolella M.
      • Barillà F.
      • Avella A.
      • Martinotti A.
      • Dell'Italia L.J.
      • Scibilia G.
      • Motta P.
      • Campa P.P.
      Slow coronary flow: clinical and histopathological features in patients with otherwise normal epicardial coronary arteries.
      ,
      • Erdoğan D.
      • Caliskan M.
      • Gullu H.
      • Sezgin A.T.
      • Yildirir A.
      • Muderrisoglu H.
      Coronary flow reserve is impaired in patients with slow coronary flow.
      ,
      • Yetkin E.
      • Turhan H.
      • Erbay A.R.
      • Aksoy Y.
      • Senen K.
      Increased thrombolysis in myocardial infarction frame count in patients with myocardial infarction and normal coronary arteriogram: a possible link between slow coronary flow and myocardial infarction.
      ,
      • Turhan H.
      • Saydam G.S.
      • Erbay A.R.
      • Ayaz S.
      • Yasar A.S.
      • Aksoy Y.
      • Basar N.
      • Yetkin E.
      Increased plasma soluble adhesion molecules; ICAM-1, VCAM-1, and E-selectin levels in patients with slow coronary flow.
      ,
      • Riza Erbay A.
      • Turhan H.
      • Yasar A.S.
      • Ayaz S.
      • Sahin O.
      • Senen K.
      • Sasmaz H.
      • Yetkin E.
      Elevated level of plasma homocystine in patients with slow coronary flow.
      ,
      • Erbay A.R.
      • Turhan H.
      • Senen K.
      • Yetkin O.
      • Yasar A.S.
      • Sezgin A.T.
      • Atak R.
      • Cehreli S.
      • Yetkin E.
      Documentation of slow coronary flow by the thrombolysis in myocardial infarction frame count in habitual smokers with angiograhically normal coronary arteries.
      ,
      • Sezgin A.T.
      • Sigirci A.
      • Barutcu I.
      • Topal E.
      • Sezgin N.
      • Ozdemir R.
      • Yetkin E.
      • Tandogan I.
      • Kosar F.
      • Ermis N.
      • Yologlu S.
      • Bariskaner E.
      • Cehreli S.
      Vascular endothelial function in patients with slow coronary flow.
      ]. Anxiety and depression has been shown to be associated with increased risk of cardiovascular events, progression of atherosclerosis and death [
      • Lichtman J.H.
      • Bigger Jr., J.T.
      • Blumenthal J.A.
      • Frasure-Smith N.
      • Kaufmann P.G.
      • Lesperance F.
      • Mark D.B.
      • Sheps D.S.
      • Taylor C.B.
      • Froelicher E.S.
      • American Heart Association Prevention Committee of the Council on Cardiovasculer Nursing
      • American Heart Association Council on Clinical Cardiology
      • American Heart Association Council on Epidemiology, Prevention
      • American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research
      • American Psychiatric Association
      Depression and coronary heart disease: recommendations for screening, referral, and treatment: a science advisory from the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association.
      ]. Accordingly we aimed to assess the possible relation of patients' anxiety and depression status on coronary flow pattern in patients with angiographically normal coronary arteries, and slow coronary flow phenomenon.

      Keywords

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