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Dorchester Center, MA 02124
True incidence unknown
Postmenopausal or posthysterectomy women most often at risk
Common cause of chest pain in women with angiographically normal coronary arteries
Linked to adverse cardiovascular outcomes and a poor quality of life
No diagnostic test
Acute withdrawal of sex hormone replacement can potentially lead to symptoms.
Preop angina can delay procedures.
Discontinuation of medications (HRT) can precipitate symptoms
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