Coronary Microvascular Dysfunction: A Guide for Clinicians
Recommended Citation
Smati H, Sellke FW, Bourque JM, Qadeer YK, Niccoli G, Montone RA, and Krittanawong C. Coronary Microvascular Dysfunction: A Guide for Clinicians. Am J Med 2024.
Document Type
Article
Publication Date
9-1-2024
Publication Title
The American journal of medicine
Abstract
Dysfunction of the coronary microvasculature has become increasingly recognized as an important mechanism of myocardial ischemia in patients without obstructive coronary artery disease. The causes and management of coronary microvascular dysfunction remain poorly understood and are still largely based on extrapolation of epicardial coronary artery disease data. Quantification of myocardial blood flow and flow reserve have improved diagnosis, though important questions remain. In this review, we explain current understanding of the spectrum of pathophysiology of coronary microvascular dysfunction, summarize current diagnostic techniques to assess for coronary microvascular dysfunction, and appraise the limited data on management options specifically for patients with coronary microvascular dysfunction.
Medical Subject Headings
Humans; Coronary Circulation; Microcirculation; Microvessels; Coronary Vessels; Myocardial Ischemia; Coronary Artery Disease
PubMed ID
38723930
ePublication
ePub ahead of print
Volume
137
Issue
9
First Page
810
Last Page
817
