The invasive investigation of INOCA in the coronary catheterization lab

被引：1
|
作者：
Burgess, Sonya N. [1 ,2 ]
Mamas, Mamas A. [3 ]
机构：
[1] Nepean Hosp, Dept Cardiol, Derby St, Sydney, NSW 2747, Australia
[2] Univ Sydney, Sydney, NSW, Australia
[3] Keele Univ, Keele Cardiovasc Res Grp, Stoke On Trent, England
来源：
AMERICAN HEART JOURNAL PLUS: CARDIOLOGY RESEARCH AND PRACTICE | 2024年 / 38卷
关键词：
Microvascular angina; Coronary flow reserve; Index of microcirculatory resistance; Coronary artery disease; ISCHEMIA; ARTERIES;
D O I：
10.1016/j.ahjo.2024.100365
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Over half of all patients with angina have no angiographically demonstratable obstructive coronary disease, with a significant proportion of these patients having undiagnosed microvascular dysfunction and/or vasospastic angina. In chronic coronary syndrome, ischemia with non -obstructive coronary artery disease (INOCA) often remains undiagnosed, or uninvestigated. INOCAmay occur due to vasospastic angina and microvascular dysfunction and require invasive assessment in the coronary catheterization lab. To evaluate INOCA coronary flow reserve (CFR) and the index of microcirculatory resistance (IMR) are used to assess microvascular dysfunction before acetylcholine provocation testing for coronary spasm. This review provides an overview of the invasive investigation of INOCA in the coronary catheterization lab for patients with angina to be optimally managed.
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页数：3
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