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Women with Stable Angina Pectoris and No Obstructive Coronary Artery Disease: Closer to a Diagnosis

Marie Mide Michelsen1, Naja Dam Mygind2, Daria Frestad3

  • 1Department of Cardiology, Bispebjerg Hospital, University of Copenhagen Copenhagen, Denmark.

European Cardiology
|November 13, 2018
PubMed

A large proportion of women with chest pain have no obstructive coronary artery disease. Recent studies have demonstrated that these women continue to have symptoms and are at increased risk of cardiovascular morbidity and mortality. Coronary microvascular dysfunction (CMD) leads to an impairment of blood flow regulation to the myocardium and possible transient ischaemia. CMD is a disease entity with several pathophysiologic aspects and diagnostic modalities continue to be developed. However, due to the complexity of the disease, it remains elusive whether CMD is the explanation for the symptoms and the poor prognosis in women with angina and no obstructive coronary artery disease.

Keywords:
Stable angina pectoriscoronary microvascular diseasediagnosisimagingischaemiamyocardiumno obstructive coronary artery diseasewomen

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