在ANOCA/INOCA疾病中的眼科微血管变化以及检测它们的眼科方法-系统性审查
Małgorzata Ryk-Adamska1,2, Maciej Janiszewski3, Mariusz Tomaniak4
1Department of Ophthalmology, Public Ophthalmic Clinical Hospital (SPKSO), Medical University of Warsaw, 02-015 Warsaw, Poland.
Journal of clinical medicine
|February 27, 2026
概括
眼科成像可以检测非阻塞性冠状动脉疾病 (NOCAD) 患者的微血管变化. 这些非侵入性技术可能有助于识别非阻塞性冠状动脉 (ANOCA) 或非阻塞性冠状动脉 (INOCA) 的缺血性心痛中的全身微循环损伤.
科学领域:
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 冠状动脉疾病 (CAD) 是全球领先的心血管问题.
- 识别患有非阻塞性CAD (NOCAD) 的患者存在诊断挑战.
- 眼部微循环为系统血管健康提供了一个非侵入性的窗口.
研究的目的:
- 对微血管变化的眼科诊断方法进行系统审查.
- 评估这些方法在患有冠状动脉微血管功能障碍 (CMD),冠状动脉非阻塞性心痛 (ANOCA) 或冠状动脉非阻塞性缺血 (INOCA) 的患者中的有用性.
主要方法:
- 按照PRISMA指南对PubMed/MEDLINE和Embase数据库进行系统审查 (开始至2025年11月25日).
- 包括评估CMD或其亚型的成年人眼科微血管变化的原始文章.
- 使用JBI批判性评估检查清单进行质量评估.
主要成果:
- 九项研究 (1894名患者) 符合纳入标准.
- 光学连贯断层扫描血管造影是最常见的成像方式.
- 观察到视网膜和结膜的微血管变化.
结论:
- 眼科发现表明,有可能区分CAD亚型,并反映ANOCA/INOCA患者的全身微循环障碍.
- 眼科成像技术显示出作为检测CMD,ANOCA和INOCA中微血管变化的非侵入性工具的前景.
关键词:
带有非阻塞性冠状动脉的心痛.胆体 胆体 胆体结膜 结膜 结膜 结膜 结膜冠状动脉微血管功能障碍缺血与非阻塞性冠状动脉缺血.微血管性心痛是什么意思非阻塞性冠状动脉疾病视网膜 视网膜 视网膜 是一个更多相关视频
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