Non-invasive imaging assessment in angina with non-obstructive coronary arteries (ANOCA)

Area of Science:

• Cardiology
• Diagnostic Imaging

Background:

• Angina with non-obstructive coronary arteries (ANOCA) is prevalent and clinically significant.
• Diagnosing ANOCA is challenging, often requiring invasive coronary angiography.
• Current diagnostic strategies for ANOCA can be difficult and delayed.

Purpose of the Study:

• To critically assess non-invasive diagnostic methods for ANOCA.
• To propose a multimodal diagnostic approach for ANOCA.
• To guide tailored treatment strategies for ANOCA patients.

Main Methods:

• Narrative review of current literature on ANOCA diagnosis.
• Evaluation of non-invasive cardiac imaging techniques.
• Assessment of clinical evaluation and functional testing in ANOCA diagnosis.

Main Results:

• Non-invasive methods, including advanced cardiac imaging, can aid ANOCA diagnosis.
• A multimodal approach combining clinical, anatomical, and functional assessments is feasible.
• Improved diagnostic accuracy can lead to timely and appropriate treatment.

Conclusions:

• Non-invasive diagnostic strategies are evolving for ANOCA.
• A multimodal approach offers a promising pathway for ANOCA diagnosis.
• Optimizing ANOCA diagnosis can improve patient management and outcomes.