A member asked:

Is it possible to have angina without ischemia? i have mvp and left ventricular hypertrophy but had two neg nuc strestests with two cardiologists.

3 doctors weighed in across 2 answers
Dr. Creighton Wright answered

Specializes in surgery

Not really: Angina is ischemic heart pain. There are many chest pains that are not heart or ischemia.

Answered 10/4/2016

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Variant Angina: Variant angina, also known as prinzmetal's angina, occurs in about 2-10% of angina patients and can be overlooked by cardiologists who stop testing after ruling out typical angina. Unlike typical angina, which is caused by atheroscleroisis, variant angina is caused by spasm of the coronary arteries, thereby decreasing blood flow to the heart.

Answered 8/24/2013

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