Mechanisms and diagnostic evaluation of persistent or recurrent angina following percutaneous coronary revascularization

被引：143

作者：

Crea, Filippo ^{[1
]}

Merz, Cathleen Noel Bairey ^{[2
]}

Beltrame, John F. ^{[3
]}

Berry, Colin ^{[4
]}

Camici, Paolo G. ^{[5
,6
]}

Kaski, Juan Carlos ^{[7
]}

Ong, Peter ^{[8
]}

Pepine, Carl J. ^{[9
]}

Sechtem, Udo ^{[8
]}

Shimokawa, Hiroaki ^{[10
]}

机构：

[1] Univ Cattolica Sacro Cuore, Fdn Policlin Gemelli IRCCS, Dept Cardiovasc & Thorac Sci, Largo F Vito 1, I-00168 Rome, Italy

[2] Cedars Sinai Med Ctr, Smidt Cedars Sinai Heart Inst, Barbra Streisand Womens Heart Ctr, 127 San Vicente Blvd, Los Angeles, CA 90048 USA

[3] Queen Elizabeth Hosp, Discipline Med, Ward 5B,28 Woodville Rd, Adelaide, SA 5011, Australia

[4] Univ Glasgow, British Heart Fdn, Glasgow Cardiovasc Res Ctr, Inst Cardiovasc & Med Sci, Univ Pl, Glasgow G12 8TA, Lanark, Scotland

[5] Univ Vita Salute San Raffaele, Dept Cardiol, Via Olgettina 60, I-20132 Milan, Italy

[6] Osped San Raffaele, Via Olgettina 60, I-20132 Milan, Italy

[7] St Georges Univ London, Mol & Clin Sci Res Inst, Cranmer Terrace, London SW17 0RE, England

[8] Robert Bosch Krankenhaus, Dept Cardiol, Auerbachstr 10, D-70376 Stuttgart, Germany

[9] Univ Florida, Dept Med, Div Cardiovasc Med, Coll Med, 1600 SW Archer Rd,Box 100288, Gainesville, FL 32610 USA

[10] Tohoku Univ, Grad Sch Med, Dept Cardiovasc Med, Aoba Ku, Seiryo Machi, Sendai, Miyagi 9808574, Japan

来源：

EUROPEAN HEART JOURNAL | 2019年 / 40卷 / 29期

关键词：

Coronary microvascular dysfunction; Coronary spasm; Coronary stenosis; Percutaneous coronary intervention; Stable angina; MICROVASCULAR DYSFUNCTION; ELUTING STENT; ARTERY-DISEASE; INTERNATIONAL STANDARDIZATION; HYPERCONSTRICTING RESPONSES; INTRACORONARY ACETYLCHOLINE; VASOMOTION ABNORMALITIES; PROGNOSTIC VALUE; MEDICAL THERAPY; STABLE ANGINA;

D O I：

10.1093/eurheartj/ehy857

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Persistence or recurrence of angina after a percutaneous coronary intervention (PCI) may affect about 20-40% of patients during short-medium-term follow-up. This appears to be true even when PCI is 'optimized' using physiology-guided approaches and drug-eluting stents. Importantly, persistent or recurrent angina post-PCI is associated with a significant economic burden. Healthcare costs may be almost two-fold higher among patients with persistent or recurrent angina post-PCI vs. those who become symptom-free. However, practice guideline recommendations regarding the management of patients with angina post-PCI are unclear. Gaps in evidence into the mechanisms of post-PCI angina are relevant, and more research seems warranted. The purpose of this document is to review potential mechanisms for the persistence or recurrence of angina post-PCI, propose a practical diagnostic algorithm, and summarize current knowledge gaps.

引用

页码：2455 / +

页数：10

共 68 条

[41] Angina after percutaneous coronary intervention: The need for precision medicine [J].

Niccoli, Giampaolo ;

Montone, Rocco Antonio ;

Lanza, Gaetano Antonio ;

Crea, Filippo .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2017, 248 :14-19

[42] Coronary Functional Tests in the Catheterization Laboratory - Pathophysiological and Clinical Relevance [J].

Niccoli, Giampaolo ;

Scalone, Giancarla ;

Crea, Filippo .

CIRCULATION JOURNAL, 2015, 79 (04) :676-684

[43] ABSENCE OF MYOCARDIAL DYSFUNCTION DURING STRESS IN PATIENTS WITH SYNDROME-X [J].

NIHOYANNOPOULOS, P ;

KASKI, JC ;

CRAKE, T ;

MASERI, A .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (06) :1463-1470

[44] International standardization of diagnostic criteria for microvascular angina [J].

Ong, Peter ;

Camici, Paolo G. ;

Beltrame, John F. ;

Crea, Filippo ;

Shimokawa, Hiroaki ;

Sechtem, Udo ;

Kaski, Juan Carlos ;

Merz, C. Noel Bairey .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2018, 250 :16-20

[45] Clinical Usefulness, Angiographic Characteristics, and Safety Evaluation of Intracoronary Acetylcholine Provocation Testing Among 921 Consecutive White Patients With Unobstructed Coronary Arteries [J].

Ong, Peter ;

Athanasiadis, Anastasios ;

Borgulya, Gabor ;

Vokshi, Ismail ;

Bastiaenen, Rachel ;

Kubik, Sebastian ;

Hill, Stephan ;

Schaeufele, Tim ;

Mahrholdt, Heiko ;

Kaski, Juan Carlos ;

Sechtem, Udo .

CIRCULATION, 2014, 129 (17) :1723-1730

[46] Coronary vasomotor abnormalities in patients with stable angina after successful stent implantation but without in-stent restenosis [J].

Ong, Peter ;

Athanasiadis, Anastasios ;

Perne, Andrea ;

Mahrholdt, Heiko ;

Schaeufele, Tim ;

Hill, Stephan ;

Sechtem, Udo .

CLINICAL RESEARCH IN CARDIOLOGY, 2014, 103 (01) :11-19

[47] Determinants of long-term clinical outcomes in patients with angina but without obstructive coronary artery disease: a systematic review and meta-analysis [J].

Radico, Francesco ;

Zimarino, Marco ;

Fulgenzi, Fabio ;

Ricci, Fabrizio ;

Di Nicola, Marta ;

Jespersen, Lasse ;

Chang, Su Min ;

Humphries, Karin H. ;

Marzilli, Mario ;

De Caterina, Raffaele .

EUROPEAN HEART JOURNAL, 2018, 39 (23) :2135-+

[48] Effect of distal embolization on myocardial perfusion reserve after percutaneous coronary intervention - A quantitative magnetic resonance perfusion study [J].

Selvanayagam, Joseph B. ;

Cheng, Adrian S. H. ;

Jerosch-Herold, Michael ;

Rahimi, Kazem ;

Porto, Italo ;

van Gaal, William ;

Channon, Keith M. ;

Neubauer, Stefan ;

Banning, Adrian P. .

CIRCULATION, 2007, 116 (13) :1458-1464

[49] 2014 Williams Harvey Lecture: importance of coronary vasomotion abnormalities-from bench to bedside [J].

Shimokawa, Hiroaki .

EUROPEAN HEART JOURNAL, 2014, 35 (45) :3180-3193

[50] Long-term survival of patients with chest pain syndrome and angiographically normal or near-normal coronary arteries: the additional prognostic value of dipyridamole echocardiography test (DET) [J].

Sicari, R ;

Palinkas, A ;

Pasanisi, EG ;

Venneri, L ;

Picano, E .

EUROPEAN HEART JOURNAL, 2005, 26 (20) :2136-2141

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