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
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
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