학술논문
Myocardial Microvascular Physiology in Acute and Chronic Coronary Syndromes, Aortic Stenosis, and Heart Failure.
Document Type
Editorial
Source
Subject
*ACUTE coronary syndrome
*CHEST pain
*AORTIC stenosis
*HEART failure
*CORONARY circulation
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Language
ISSN
0896-4327
Abstract
Angina with no obstructive coronary arteries (ANOCAs) is the clinical term when a clinical diagnosis of ischemia is made in a patient without significant obstructive coronary artery disease, without the necessity of having demonstrated inducible ischemia. It is also important for clinicians to be aware that the vast majority of patients presenting with chest pain and minimal CAD do have an underlying abnormality of coronary vasomotion even if they do not have manifest ischemia on noninvasive testing. The authors concluded that stratified medical therapy, including an IDP with linked medical therapy, was routinely feasible and improved angina in patients with no obstructive CAD [[17]]. A large multicentre, prospective, randomized, blinded outcome study evaluating intensive medical therapy including high-intensity statins, ACE-Is or ARBs, and aspirin, vs. usual care in 4422 symptomatic women with INOCA, (Women's IschemiA TRial to Reduce Events In Non-ObstRuctive CAD, (WARRIOR)), will probably give the answer if patients with MVD should be treated as patients with CAD [[60]]. [Extracted from the article]