Chronic coronary insufficiency: clinical presentation

Classical angina pectoris is the main clinical manifestation of coronary artery disease, although other symptoms may be observed, such as dyspnea (anginal equivalent). Other conditions may also occur as a form of presentation, either alone or in association with classic angina, such as silent ischemia, vasospastic angina, microvascular dysfunction, heart failure and arrhythmias. In addition to the clinical picture, the assessment of risk factors as well as vasculopathy in other territories increase pre-test probability of this pathology. Attention should always be paid to possible differential diagnoses.