Daubert J C, Rouxel P, Feuillu A, Pony J C, Gouffault J
Arch Mal Coeur Vaiss. 1975 Jun;68(6):607-18.
The search for electrocardiographic, haemodynamic and above an metabolic criteria suggestive of "myocardial ischaemia" in the course of an atrial pacing test was found to be positive in three patients suffering from atypical thoracic pains, and in whom selective coronary arteriograms might be considered as normal. It appaear thus that the criterion of a normal coronary arteriography and a negative or unsignificant effort test is insufficient to discard the diagnosis of "myocardial ischaemia" when confronted with such pains habitually considered as anorganic. The accurate mechanism of these pains, probably identical to that or those of "angina with normal coronary arteriography" remains undecided.
在心房起搏试验过程中，对三名患有非典型胸痛且选择性冠状动脉造影可能被视为正常的患者进行了心电图、血流动力学及代谢标准方面的检查，以寻找提示“心肌缺血”的指标，结果呈阳性。因此，当面对通常被认为是无器质性病变的此类疼痛时，冠状动脉造影正常且运动试验阴性或无意义的标准不足以排除“心肌缺血”的诊断。这些疼痛的确切机制，可能与“冠状动脉造影正常的心绞痛”相同或相似，仍未确定。
