Chinese expert consensus on the diagnosis and treatment of coronary microvascular diseases (2023 Edition)

被引：24

作者：

Chen, Wenqiang ^{[1
,2
]}

Ni, Mei ^{[1
,2
]}

Huang, He ^{[3
]}

Cong, Hongliang ^{[4
]}

Fu, Xianghua ^{[5
]}

Gao, Wei ^{[6
]}

Yang, Yuejin ^{[7
]}

Yu, Mengyue ^{[7
]}

Song, Xiantao ^{[8
]}

Liu, Meilin ^{[9
]}

Yuan, Zuyi ^{[10
]}

Zhang, Bo ^{[11
]}

Wang, Zhaohui ^{[12
]}

Wang, Yan ^{[13
]}

Chen, Yundai ^{[14
,16
]}

Zhang, Cheng ^{[1
,2
,15
]}

Zhang, Yun ^{[1
,2
,17
]}

机构：

[1] Shandong Univ, Natl Key Lab Innovat & Transformat Luobing Theory, Key Lab Cardiovasc Remodeling & Funct Res, Chinese Minist Educ,Chinese Natl Hlth Commiss, Jinan, Shandong, Peoples R China

[2] Shandong Univ, Chinese Acad Med Sci, Dept Cardiol, Qilu Hosp, Jinan, Shandong, Peoples R China

[3] Zhejiang Univ, Dept Cardiol, Sir Run Run Shaw Hosp, Sch Med, Hangzhou, Peoples R China

[4] Tianjin Univ, Tianjin Chest Hosp, Dept Cardiol, Tianjin, Peoples R China

[5] Hebei Med Univ, Dept Cardiol, Hosp 2, Shijiazhuang, Hebei, Peoples R China

[6] Peking Univ Third Hosp, Dept Cardiol, Beijing, Peoples R China

[7] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Dept Cardiol, Beijing, Peoples R China

[8] Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiol, Beijing, Peoples R China

[9] Peking Univ First Hosp, Dept Geriatr, Beijing, Peoples R China

[10] Xi An Jiao Tong Univ, Dept Cardiol, Affiliated Hosp 1, Xian, Peoples R China

[11] Dalian Med Univ, Affiliated Hosp 1, Dept Cardiol, Dalian, Liaoning, Peoples R China

[12] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Cardiol, Wuhan, Peoples R China

[13] Xiamen Univ, Xiamen Cardiovasc Hosp, Dept Cardiol, Xiamen, Peoples R China

[14] Chinese Peoples Liberat Army Gen Hosp, Senior Dept Cardiol, Med Ctr 6, Beijing, Peoples R China

[15] Shandong Univ, Qilu Hosp, Dept Cardiol, 107 Wen Hua Xi Rd, Jinan 250012, Shandong, Peoples R China

[16] Chinese Peoples Liberat Army Gen Hosp, Senior Dept Cardiol, Med Ctr 6, 6 Fucheng Rd, Beijing 100048, Peoples R China

[17] Shandong Univ, Qilu Hosp, Deparment Cardiol, 107 Wen Hua Xi Rd, Jinan 250012, Shandong, Peoples R China

来源：

MEDCOMM | 2023年 / 4卷 / 06期

基金：

中国国家自然科学基金;

关键词：

coronary microvascular disease; myocardial ischemia; myocardial infarction; atherosclerosis; non-atherosclerotic heart disease; Chinese expert consensus; ACUTE MYOCARDIAL-INFARCTION; ST-SEGMENT ELEVATION; PRESERVED EJECTION FRACTION; PLACEBO-CONTROLLED TRIAL; FLOW VELOCITY RESERVE; EMISSION COMPUTED-TOMOGRAPHY; LEFT-VENTRICULAR DYSFUNCTION; AORTIC-VALVE-REPLACEMENT; CALCIUM-CHANNEL BLOCKER; STABLE ANGINA-PECTORIS;

D O I：

10.1002/mco2.438

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Since the four working groups of the Chinese Society of Cardiology issued first expert consensus on coronary microvascular diseases (CMVD) in 2017, international consensus documents on CMVD have increased rapidly. Although some of these documents made preliminary recommendations for the diagnosis and treatment of CMVD, they did not provide classification of recommendations and levels of evidence. In order to summarize recent progress in the field of CMVD, standardize the methods and procedures of diagnosis and treatment, and identify the scientific questions for future research, the four working groups of the Chinese Society of Cardiology updated the 2017 version of the Chinese expert consensus on CMVD and adopted a series of measures to ensure the quality of this document. The current consensus has raised a new classification of CMVD, summarized new epidemiological findings for different types of CMVD, analyzed key pathological and molecular mechanisms, evaluated classical and novel diagnostic technologies, recommended diagnostic pathways and criteria, and therapeutic strategies and medications, for patients with CMVD. In view of the current progress and knowledge gaps of CMVD, future directions were proposed. It is hoped that this expert consensus will further expedite the research progress of CMVD in both basic and clinical scenarios. New recommendations and opinions released in Chinese expert consensus on the diagnosis and treatment of coronary microvascular diseases-2023, as compared with Chinese expert consensus on the diagnosis and treatment of coronary microvascular diseases issued in 2017.image

引用

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