Coronary microvascular dysfunction

作者：Vincenzo Sucato, Giuseppina Novo, Antonino Saladino, Salvatore Evola, Alfredo Ruggero Galassi · 发表于：Minerva Cardioangiologica · 年份：2020 · DOI：10.23736/s0026-4725.20.05070-7 · 被引用次数：32 · 研究领域：Cardiac Imaging and Diagnostics、Acute Myocardial Infarction Research、Cardiovascular Function and Risk Factors

Patients with coronary microvascular dysfunction (CMVD) represent a widespread population and despite the good prognosis, many of them have a poor quality of life with strong limitations in their daily activities because of the angina symptoms. This article summarizes the most frequent clinical presentation pictures like stable and unstable microvascular angina. Main risk factors are discussed, followed by the latest updates on the subject about different pathogenic hypotheses, diagnosis and treatment. Not very well understood microvascular alterations, like slow flow phenomenon and no reflow are discussed and both prognosis and the impact of the disease in the quality of life are analyzed.