Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries

The diagnosis of microvascular angina (MVA) is usually considered in patients presenting with angina symptoms and evidence of MI on non-invasive stress tests but normal coronary arteries at angiography. A definitive diagnosis of MVA, however, would require the presence of coronary microvascular dysf...

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Autor principal:	Gaetano Antonio Lanza
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/04df34ea5bfc467c804f6cf1ba879a26
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spelling	oai:doaj.org-article:04df34ea5bfc467c804f6cf1ba879a262021-12-04T16:01:40ZDiagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries10.15420/ecr.2019.22.21758-37641758-3756https://doaj.org/article/04df34ea5bfc467c804f6cf1ba879a262019-07-01T00:00:00Zhttps://www.ecrjournal.com/articles/Stable-Angina-No-Obstructive-Coronary-Arterieshttps://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764The diagnosis of microvascular angina (MVA) is usually considered in patients presenting with angina symptoms and evidence of MI on non-invasive stress tests but normal coronary arteries at angiography. A definitive diagnosis of MVA, however, would require the presence of coronary microvascular dysfunction. Several invasive (e.g. intracoronary Doppler wire recording and thermodilution) and non-invasive (e.g. PET, cardiac MRI, transthoracic Doppler echocardiography) methods can be applied to obtain a diagnosis. Both endothelium- dependent and -independent coronary microvascular dilator function, as well as increased microvascular constrictor activity, should be investigated. The main issues in the assessment of clinical and diagnostic findings in patients with suspected MVA are discussed and a diagnostic approach is suggested.Gaetano Antonio LanzaRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 14, Iss 2, Pp 97-102 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Gaetano Antonio Lanza Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
description	The diagnosis of microvascular angina (MVA) is usually considered in patients presenting with angina symptoms and evidence of MI on non-invasive stress tests but normal coronary arteries at angiography. A definitive diagnosis of MVA, however, would require the presence of coronary microvascular dysfunction. Several invasive (e.g. intracoronary Doppler wire recording and thermodilution) and non-invasive (e.g. PET, cardiac MRI, transthoracic Doppler echocardiography) methods can be applied to obtain a diagnosis. Both endothelium- dependent and -independent coronary microvascular dilator function, as well as increased microvascular constrictor activity, should be investigated. The main issues in the assessment of clinical and diagnostic findings in patients with suspected MVA are discussed and a diagnostic approach is suggested.
format	article
author	Gaetano Antonio Lanza
author_facet	Gaetano Antonio Lanza
author_sort	Gaetano Antonio Lanza
title	Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
title_short	Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
title_full	Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
title_fullStr	Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
title_full_unstemmed	Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries
title_sort	diagnostic approach to patients with stable angina and no obstructive coronary arteries
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/04df34ea5bfc467c804f6cf1ba879a26
work_keys_str_mv	AT gaetanoantoniolanza diagnosticapproachtopatientswithstableanginaandnoobstructivecoronaryarteries
_version_	1718372715521376256

Diagnostic Approach to Patients with Stable Angina and No Obstructive Coronary Arteries

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