NAILFOLD CAPILLAROSCOPY IN PATIENTS WITH ANGINAL CHEST PAIN AND NORMAL CORONARY ANGIOGRAMS - AN OBSERVATIONAL CROSS SECTIONAL STUDY

Dr. Rajendra V. Chavan; Dr. Bhagyashri A. Abak

Volume : VIII, Issue : XII, December - 2018

NAILFOLD CAPILLAROSCOPY IN PATIENTS WITH ANGINAL CHEST PAIN AND NORMAL CORONARY ANGIOGRAMS - AN OBSERVATIONAL CROSS SECTIONAL STUDY

Dr. Rajendra V. Chavan, Dr. Bhagyashri A. Abak

Abstract :

Aim: To study nailfold capillaroscopy findings in patients with typical anginal symptoms with normal coronary angiograms.

Methods and Results: We studied 40 patients with typical anginal chest pain and normal coronary angiograms. Nailfold capillaroscopy was performed with the OITEZ e–scope on the right and left ring fingers. Overall, abnormalities were detected in 30% of the patients. Decreased capillary density (25%) was the most common finding followed by capillary dilatation (17.5%), microhaemorrhages (10%) and bushy capillaries (5%).

Conclusions: Nailfold capillaroscopic abnormalities are common in patients with anginal chest pain and normal coronary angiograms. These findings suggests a generalized microvascular abnormality that may play a role in the pathogenesis of this syndrome. Further studies are needed to determine whether the abnormality is associated with myocardial flow disturbances, such that the findings can be extended to the heart