Tahereh Saedi1, Mohammad Ali Sadrameli2, Sedigheh Saedi2. 1. Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran-Iran. taherehsaedi80@gmail.com. 2. Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran-Iran.
To the Editor,We thank the authors of the letter for their valuable comments. In our study entitled “Coronary slow flow: Benign or ominous?” published in Anatolian Journal of Cardiology 2015; 15: 531-5 (1), the focus was on the evaluation of characteristics of patients presenting with coronary ischemic symptoms and who happened to only have coronary slow flow phenomenon in coronary angiography; the goal was to understand the natural history of these patients. For this reason, the patients who were admitted for catheterization due to causes other than coronary symptoms were excluded.Congenitalpatients have their own specific underlying cardiac pathophysiology, with abnormal coronary anatomies; therefore, they were not taken into account in our study. None of the evaluated patients suffered from specific arrhythmias.Prescribed drugs might have varied based on individual patient’s conditions, but the core components remained constant in the majority of cases.Regarding echocardiography, echogenicity did not really impose a problem that necessitated the use of contrast material or other modalities, and global left ventricular function was determined in different echocardiographic planes.Last but not least, we agree with the comment that evaluation for further characteristics, including those parameters mentioned by the authors of the letter, could be related and important in patients with coronary slow flow phenomenon and should become the subject of future studies.