Coronary slow flow phenomena

CORONARY_SLOW_FLOW _PHENOMENA:
Coronary slow-flow phenomenon is an angiographic phenomenon where the distal opacification of the coronary artery is delayed on angiography in the absence of significant coronary artery disease
#D/D
.Coronary slow flow phenomenon needs to be differentiated from slow-flow resulting from percutaneous coronary intervention.
#INCIDENCE:
incidence of coronary slow-flow is reported to be 1-7% of all coronary angiograms.
#Treatment:
In an observational study, Kurtoglu et al found dypiridamole to be useful in the management of CSFP, with symptomatic as well as angiographic improvement
#Prognosis:
Coronary slow-flow phenomenon usually has a benign long term outcome but may be associated with relapses. Occasional ventricular arrhythmias and even sudden cardiac death have been reported.
REFRENCE:ESC GUIDELINES