conclusions the scf phenomenon is relatively frequent, particularly among patients with acute coronary syndrome who are scheduled for coronary angiography. hypertension, a low hdl-c level, and high hemoglobin level can be considered independent predictors of this phenomenon. results among the 3600 patients scheduled for selective coronary angiography, 75 (2%) met the scf criteria. scf and neca ...

the coronary slow flow phenomenon (csfp) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. although the relation between the csfp and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the csfp and the conduction system disorder. in this case report, we describe a patient with the csfp ...

Cardiologists are familiar with the phenomenon of slow progression of angiographic contrast in the coronary arteries in the absence of stenosis in the epicardial vessels in some patients presenting with chest pain. The coronary slow flow phenomenon (CSFP), first described in 1972, remains scantily studied. This phenomenon should be distinguished from occurrence of slow flow in the context of co...

he enigma of angina in the absence of significant epicardial coronary artery disease (CAD) has puzzled cardiologists since the advent of invasive coronary angiography. Indeed, an early paper by Likoff et al1 was entitled ‘Paradox of normal selective coronary angiograms in patients considered to have unmistakable coronary heart disease’ and described 15 women with angina, a positive exercise str...

Received: August 13, 2015. Revision received: August 13, 2015. Accepted after revision: August 17, 2015. Bangkok Med J 2015;10:22-26. E-journal: http://www.bangkokmedjournal.com Abstract Angina pectoris and abnormally slow contrast propagation into the unobstructed coronary artery, the so-called coronary slow fl ow (CSF) phenomenon was fi rst recognized four decades ago but the etiology remaine...