Ischemia in the absence of obstructive coronary artery disease (INOCA): microvascular angina and vasospastic angina

被引：4
作者：
Sucato, Vincenzo [1 ]
Novo, Salvatore [1 ]
Manno, Girolamo [1 ]
Coppola, Giuseppe [1 ]
Caronna, Nicola [1 ]
Evola, Salvatore [1 ]
Corrado, Egle [1 ]
Novo, Giuseppina [1 ]
Galassi, Alfredo Ruggero [1 ]
机构：
[1] Univ Palermo, UOC Cardiol, Dipartimento Promoz Salute Maternoinfantile Med I, AOU Policlin Paolo Giaccone, Via Vespro 124, I-90127 Palermo, Italy
来源：
GIORNALE ITALIANO DI CARDIOLOGIA | 2020年 / 21卷 / 12期
关键词：
Coronary microvascular dysfunction; Ischemia with non-obstructive coronary artery disease; Microvascular angina; Vasospastic angina; INTERNATIONAL STANDARDIZATION; DIAGNOSTIC-CRITERIA; CHEST-PAIN; DYSFUNCTION; FLOW; PATHOPHYSIOLOGY; PREVALENCE; PECTORIS; WOMEN; ESC;
D O I：
10.1714/3472.34549
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
About 40% of patients undergoing coronary angiography for chest pain with anginal features have angiographically normal or near-normal coronary arteries. It was necessary to standardize all myocardial ischemia scenarios in stable patients in the absence of coronary artery disease, therefore the term INOCA (ischemia with non-obstructive coronary artery disease) was coined. The aim of this article is to summarize and to clarify the vast and controversial chapter of INOCA, in order to better understand the pathophysiological, nosographic, diagnostic and therapeutic aspects.
引用
收藏
页码：954 / 960
页数：7
相关论文
共 38 条
[1]   Recurrent angina after coronary revascularization: a clinical challenge [J].
Abbate, Antonio ;
Biondi-Zoccai, Giuseppe G. L. ;
Agostoni, Pierfrancesco ;
Lipinski, Michael J. ;
Vetrovec, George W. .
EUROPEAN HEART JOURNAL, 2007, 28 (09) :1057-1065
[2]   Effects of slow coronary artery flow on QT interval duration and dispersion [J].
Atak, R ;
Turhan, H ;
Sezgin, AT ;
Yetkin, O ;
Senen, K ;
Ileri, M ;
Sahin, O ;
Karabal, O ;
Yetkin, E ;
Kutuk, E ;
Demirkan, D .
ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2003, 8 (02) :107-111
[3]   International standardization of diagnostic criteria for vasospastic angina [J].
Beltrame, John F. ;
Crea, Filippo ;
Kaski, Juan Carlos ;
Ogawa, Hisao ;
Ong, Peter ;
Sechtem, Udo ;
Shimokawa, Hiroaki ;
Merz, C. Noel Bairey .
EUROPEAN HEART JOURNAL, 2017, 38 (33) :2565-2568
[4]   The Who, What, Why, When, How and Where of Vasospastic Angina [J].
Beltrame, John F. ;
Crea, Filippo ;
Kaski, Juan Carlos ;
Ogawa, Hisao ;
Ong, Peter ;
Sechtem, Udo ;
Shimokawa, Hiroaki ;
Merz, C. Noel Bairey .
CIRCULATION JOURNAL, 2016, 80 (02) :289-+
[5]   Defining the Coronary Slow Flow Phenomenon [J].
Beltrame, John F. .
CIRCULATION JOURNAL, 2012, 76 (04) :818-820
[6]   Stable Coronary Syndromes The Case for Consolidating the Nomenclature of Stable Ischemic Heart Disease [J].
Berry, Colin .
CIRCULATION, 2017, 136 (05) :437-439
[7]   The prognostic value of coronary endothelial and microvascular dysfunction in subjects with normal or non-obstructive coronary artery disease: A systematic review and meta-analysis [J].
Brainin, Philip ;
Frestad, Daria ;
Prescott, Eva .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2018, 254 :1-9
[8]   Angina with "normal" coronary arteries a changing philosophy [J].
Bugiardini, R ;
Merz, CNB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (04) :477-484
[9]   Medical progress - Coronary microvascular dysfunction [J].
Camici, Paolo G. ;
Crea, Filippo .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (08) :830-840
[10]   MICROVASCULAR ANGINA AS A CAUSE OF CHEST PAIN WITH ANGIOGRAPHICALLY NORMAL CORONARY-ARTERIES [J].
CANNON, RO ;
EPSTEIN, SE .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 61 (15) :1338-1343
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