Background: Insulin resistance associated with compensatory hyperinsulinemia plays a significant role in the pathogenesis of cardiovascular diseases, including vasospastic angina (VSA). However, the effects of insulin resistance associated with hyperinsulinemia on the long-term prognosis in patients with VSA remain unclear.
Methods: A total of 265 selected patients with VSA and 56 control subjects with atypical chest pain were enrolled in the present study.