Resumen

RODRIGUEZ PERON, José Miguel; LEYVA MORENO, Urbano; PEREZ REYES, Rogelio  y  GARCIA MONTERO, Amel. Microvascular angina: a diagnostic challenge at emergency services. Rev Cub Med Mil [online]. 2004, vol.33, n.4. ISSN 0138-6557.

The diagnosis of micorvascular angina uses to be extremely difficult and many times it is disregarded or understimated at the emergency services, since the clinic is not only atypical in a great percentage of patients, but also the available conventional diagnostic techniques, such as the surface electrocardiogram are negative or unspecific, that is, non-concluding. Therefore, in order to reaffirm the importance of taking it into account and not to give up its search in patients with precordial pain more or less atypical with normal coronary arteries and without electrocardiographic alterations that may be labeled as functional or be diganosed as non-cardiological pains of another nature, with the subsequent damage for the patient, it was made a review of the main pathogenic, diagnostic and therapeutical criteria of microvascular angina with the assistance of the best available scientific evidence obtained in the medical information sources known as Medline, Index Medicus, Cochrane Collaboration and other physical, electronic and virtual libraries.

Palabras clave : Microvascular angina; cardiovascular syndromeX; hypertension.