Mehmet Arslan, Özge Özden Kayhan, Çağla Akçay Ürkmez, Cemre Turgul, Kardelen Ohtaroğlu Tokdil, Ahmet Barutçu
Interventional Cardiology Perspectives - 2025;1(2):67-71
Background: While earlier studies have indicated that patients with coronary slow flow (CSF) tend to have favorable outcomes, long-term prospective data remain limited. Aim: This study aimed to assess the long-term clinical significance of CSF and its effect on cardiac function. Study Design: A 5-year clinical follow-up was conducted to assess cardiac function in patients with CSF using both conventional and speckle-tracking echocardiography. Methods: Nineteen patients diagnosed with CSF were included. Echocardiographic and strain parameters were recorded at baseline and re-evaluated after five years. Clinical follow-up was maintained throughout the study period. Results: No significant changes were observed in echocardiographic or longitudinal strain parameters, all of which remained within normal limits. During the follow-up, there were no cases of mortality, cardiac-related hospitalizations, or acute coronary syndromes. Conclusion: Patients with CSF demonstrated preserved cardiac function and a favorable long-term prognosis. Ongoing medical treatment likely played a role in maintaining these outcomes.
