Non-invasive imaging assessment in angina with non-obstructive coronary arteries (ANOCA)

被引：0

作者：

Bergamaschi, Luca ^{[1
,2
]}

De Vita, Antonio ^{[3
]}

Villano, Angelo ^{[3
]}

Tremamunno, Saverio ^{[3
]}

Armillotta, Matteo ^{[1
,2
]}

Angeli, Francesco ^{[1
,2
]}

Belmonte, Marta ^{[4
]}

Paolisso, Pasquale ^{[5
]}

Foa, Alberto ^{[1
,6
]}

Gallinoro, Emanuele ^{[5
]}

Polimeni, Alberto ^{[7
,8
]}

Sucato, Vincenzo ^{[9
]}

Morrone, Doralisa ^{[10
]}

Tuttolomondo, Domenico ^{[11
]}

Pavon, Anna Giulia ^{[12
]}

Guglielmo, Marco ^{[13
]}

Gaibazzi, Nicola ^{[11
]}

Mushtaq, Saima ^{[14
]}

Filardi, Pasquale Perrone ^{[4
]}

Indolfi, Ciro ^{[7
]}

Picano, Eugenio ^{[15
]}

Pontone, Gianluca ^{[14
,16
]}

Lanza, Gaetano Antonio ^{[3
,17
]}

Pizzi, Carmine ^{[1
,2
]}

机构：

[1] Univ Bologna, Dept Med & Surg Sci DIMEC, Alma Mater Studiorum, Bologna, Italy

[2] Morgagni Pierantoni Univ Hosp, Cardiovasc Div, Via Carlo Forlanini 34, I-47121 Forli, Italy

[3] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Rome, Italy

[4] Univ Federico II, Dept Adv Biomed Sci, Naples, Italy

[5] IRCCS Osped Galeazzi Sant Ambrogio, Div Univ Cardiol, I-20157 Milan, Italy

[6] IRCCS Azienda Osped Univ Bologna, Cardiac Thorac & Vasc Dept, Cardiol Unit, Bologna, Italy

[7] Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, Div Cardiol, Catanzaro, Italy

[8] Magna Graecia Univ Catanzaro, Cardiovasc Res Ctr, Catanzaro, Italy

[9] Univ Hosp Paolo Giaccone, Div Cardiol, Via Vespro 129, I-90100 Palermo, Italy

[10] Univ Pisa, Dept Surg Med & Mol Pathol & Crit Care Med Cardio, Pisa, Italy

[11] Univ Hosp Parma, Dept Urol, Via Gramsci 14, I-43126 Parma, Italy

[12] Ente Osped Cantonale, Cardioctr Ticino Inst, Dept Cardiol, Via Tesserete 48, CH-6900 Lugano, Switzerland

[13] Univ Utrecht, Dept Cardiol, Div Heart & Lungs, Med Ctr, Utrecht, Netherlands

[14] Ctr Cardiol Monzino IRCCS, Dept Perioperat Cardiol & Cardiovasc Imaging, Milan, Italy

[15] Univ Belgrade, Univ Ctr Serbia, Univ Clin Ctr Serbia, Cardiol, Belgrade, Serbia

[16] Univ Milan, Dept Biomed Surg & Dent Sci, Milan, Italy

[17] Univ Cattolica Sacro Cuore, Dept Hematol, Rome, Italy

来源：

CURRENT PROBLEMS IN CARDIOLOGY | 2025年 / 50卷 / 05期

关键词：

ANOCA; Imaging; CCTA; SPECT; PET; Diagnosis; CARDIOVASCULAR MAGNETIC-RESONANCE; CARDIAC COMPUTED-TOMOGRAPHY; ISCHEMIC-HEART-DISEASE; MICROVASCULAR DYSFUNCTION; LUMEN VOLUME; ANGIOGRAPHY; DIAGNOSIS; CT; ECHOCARDIOGRAPHY; PATHOPHYSIOLOGY;

D O I：

10.1016/j.cpcardiol.2025.103021

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Due to its significant prevalence and clinical implications, angina with non-obstructive coronary arteries (ANOCA) has become a major focus in modern cardiology. In fact, diagnosing ANOCA presents a significant challenge. The final diagnosis is often difficult, delayed, and frequently necessitates an invasive assessment through coronary angiography. However, recent improvements in non-invasive cardiac imaging allow a diagnosis of ANOCA using a combination of clinical evaluation, anatomical coronary imaging, and functional testing. This narrative review aims to critically assess various non-invasive diagnostic methods and propose a multimodal approach to diagnose ANOCA and tailor appropriate treatments.

引用

页数：10

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