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INOCA: Ischemia in non-obstructive coronary arteries

Shereen AlShaikh1, Charlene L Rohm2, Nadia R Sutton2,3

  • 1Adult Cardiology Department, Mohammed bin Khalifa Cardiac Centre, Riffa, Bahrain.

American Heart Journal Plus : Cardiology Research and Practice
|April 29, 2024
PubMed

Insights

This article summarizes the clinical spectrum of non-obstructive coronary artery disease, covering its pathologies, diagnostic methods, and treatment approaches for better patient outcomes.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Non-obstructive coronary artery disease (CAD) presents a diagnostic challenge.
  • Understanding the full clinical spectrum is crucial for effective management.

Purpose of the Study:

  • To provide a comprehensive overview of non-obstructive coronary arteries.
  • To detail the pathologies, assessment techniques, and management strategies for this condition.

Main Methods:

  • Literature review of clinical studies and guidelines.
  • Synthesis of information on diagnostic modalities (invasive and noninvasive).
  • Analysis of current treatment paradigms.

Main Results:

  • Detailed description of various pathologies associated with non-obstructive CAD.
  • Comparison of the efficacy and limitations of invasive and noninvasive assessments.
  • Outline of evidence-based management strategies.

Conclusions:

  • Non-obstructive coronary arteries encompass a diverse range of conditions requiring tailored diagnostic and therapeutic approaches.
  • Integrated assessment and management are key to improving outcomes for patients with non-obstructive CAD.

Keywords:
Cardiac imagingEpicardial coronary arteriesFunctional testingIntracoronary imagingIschemia

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