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Psychological burden in patients with angina and unobstructed coronary arteries-underestimated, underexplored,

Peter Ong1, Astrid Hubert2, Zineb Moussaoui2

  • 1Department of Cardiology and Angiology, Robert-Bosch-Krankenhaus, Auerbachstr. 110, 70376, Stuttgart, Germany. Peter.Ong@rbk.de.

Herz
|June 19, 2024
PubMed

Insights

Patients with angina and unobstructed coronary arteries (ANOCA) face diagnostic challenges and psychological distress. This review highlights the need for comprehensive care, addressing psychological factors in coronary vasomotor disorders.

Area of Science:

  • Cardiology
  • Psychosomatic Medicine

Background:

  • Angina and unobstructed coronary arteries (ANOCA) present a significant clinical challenge.
  • Patients often experience prolonged diagnostic journeys and suboptimal management.
  • The psychological burden in ANOCA patients is frequently underestimated and undertreated.

Purpose of the Study:

  • To provide a new perspective on the pathophysiology of coronary vasomotor disorders.
  • To emphasize the role of psychological risk factors in ANOCA.
  • To advocate for comprehensive, interdisciplinary care models for ANOCA patients.

Main Methods:

  • Literature review focusing on pathophysiology and psychological aspects of ANOCA.
  • Analysis of current diagnostic and therapeutic challenges.
  • Synthesis of evidence regarding psychological sequelae.

Main Results:

  • Coronary vasomotor disorders are complex, influenced by psychological factors.
  • Current management strategies are often inadequate, leading to persistent symptoms and psychological distress.
  • A significant gap exists in addressing the psychological burden associated with ANOCA.

Conclusions:

  • Comprehensive care integrating psychological support is crucial for ANOCA patients.
  • Interdisciplinary ANOCA clinics are proposed as an optimal model for patient management.
  • Further research is needed to fully understand and treat the psychological dimensions of ANOCA.

Keywords:
ANOCAAngina pectoris, stableAnxietyCoronary artery spasmDepression

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