Diagnostic approach for coronary microvascular dysfunction in patients with chest pain and no obstructive coronary artery disease.

被引：20
|
作者：
Lanza, Gaetano Antonio [1 ]
Morrone, Doralisa [2 ]
Pizzi, Carmine [3 ]
Tritto, Isabella [4 ]
Bergamaschi, Luca [3 ]
De Vita, Antonio [1 ]
Villano, Angelo [1 ]
Crea, Filippo [1 ]
机构：
[1] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Med Cardiovascolare, Rome, Italy
[2] Univ Pisa, Dipartimento patol Chirurg Med Mol & area crit, Pisa, Italy
[3] Univ Bologna, Dipartimento Med Specialist, Alma Mater Studiorum, Diagnost & Sperimentale, Bologna, Italy
[4] Univ Perugia, Dipartimento Med, Sez Cardiol & Fisiopatol Cardiovas, Perugia, Italy
来源：
TRENDS IN CARDIOVASCULAR MEDICINE | 2022年 / 32卷 / 07期
关键词：
Coronary microvascular dysfunction; Microvascular angina; Myocardial infarction with no obstructive  coronary arteries; Diagnosis; ACUTE MYOCARDIAL-INFARCTION; STABLE ANGINA-PECTORIS; FLOW RESERVE; SYNDROME-X; ISCHEMIA; ECHOCARDIOGRAPHY; OUTCOMES; DOPPLER; PATHOPHYSIOLOGY; PROVOCATION;
D O I：
10.1016/j.tcm.2021.08.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A large number of studies has demonstrated that abnormalities of coronary microcirculation may be re-sponsible for both acute and chronic cardiac ischemic syndromes. In clinical practice the microvascular origin of myocardial ischemia and angina is usually considered in patients who are found to have nor-mal or near-normal coronary arteries at angiography. In this article, we review the diagnostic approach to patients with suspected coronary microvascular dysfunction as a cause of ischemic syndromes and also suggest a classification of chronic and acute microvascular coronary ischemic syndrome, including myocardial infarction with normal coronary arteries.(c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：448 / 453
页数：6
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