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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

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Contemporary and future invasive coronary vasomotor function testing and treatment in patients with ischaemia with no

Peter Damman1, Suzette E Elias-Smale1, Tijn P J Jansen1

  • 1Department of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.

European Heart Journal Supplements : Journal of the European Society of Cardiology
|November 16, 2022
PubMed

Insights

This review highlights the crucial role of diagnostics and therapy for patients with ischaemia with no obstructive coronary arteries (INOCA). It details the coronary function test (CFT) and future diagnostic and treatment strategies for INOCA.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Ischaemia with no obstructive coronary arteries (INOCA) presents diagnostic challenges.
  • Accurate diagnosis and effective therapy are vital for managing INOCA patients.

Purpose of the Study:

  • To review the importance of diagnostics and therapy in INOCA.
  • To discuss the diagnostic coronary function test (CFT) and its future advancements.
  • To outline current and future treatment strategies for INOCA.

Main Methods:

  • Review of current literature on INOCA diagnostics and therapeutics.
  • Description of the diagnostic coronary function test (CFT) procedure.
  • Discussion of emerging technologies like angiography-derived physiology and invasive continuous thermodilution.

Main Results:

  • The coronary function test (CFT) is a key diagnostic procedure for INOCA.
  • Future diagnostic tools will enhance the understanding and identification of INOCA phenotypes.
  • Comprehensive treatment strategies are essential for improving patient outcomes.

Conclusions:

  • Effective INOCA management requires a focus on both diagnostics and therapy.
  • Advancements in diagnostic procedures like CFT are crucial for personalized INOCA care.
  • National registration and further research into pathophysiology will improve INOCA understanding and treatment.

Keywords:
Angina pectorisCoronary vascular dysfunctionINOCAMicrovascular dysfunctionVasomotor disordersVasospasm

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