학술논문
Comprehensive Management of ANOCA, Part 2—Program Development, Treatment, and Research Initiatives: JACC State-of-the-Art Review.
Document Type
Article
Author
Smilowitz, Nathaniel R.; Prasad, Megha; Widmer, R. Jay; Toleva, Olga; Quesada, Odayme; Sutton, Nadia R.; Lerman, Amir; Reynolds, Harmony R.; Kesarwani, Manoj; Savage, Michael P.; Sweeny, Joseph M.; Janaszek, Katherine B.; Barseghian El-Farra, Ailin; Holoshitz, Noa; Park, Ki; Albadri, Ahmed; Blair, John A.; Jeremias, Allen; Kearney, Kathleen E.; Kobayashi, Yuhei
Source
Subject
*HEALTH care teams
*CORONARY arteries
*ANGINA pectoris
*INDIVIDUAL needs
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Language
ISSN
0735-1097
Abstract
Centers specializing in coronary function testing are critical to ensure a systematic approach to the diagnosis and treatment of angina with nonobstructive coronary arteries (ANOCA). Management leveraging lifestyle, pharmacology, and device-based therapeutic options for ANOCA can improve angina burden and quality of life in affected patients. Multidisciplinary care teams that can tailor and titrate therapies based on individual patient needs are critical to the success of comprehensive programs. As coronary function testing for ANOCA is more widely adopted, collaborative research initiatives will be fundamental to improve ANOCA care. These efforts will require standardized symptom assessments and data collection, which will propel future large-scale clinical trials. [Display omitted] • Comprehensive CFT is important to identify underlying causes of ANOCA. • Close follow-up is critical to monitor ANOCA symptoms, titrate medications, and modify other therapies. • Multicenter registries encourage standardization and collaboration and can advance our understanding of ANOCA. [ABSTRACT FROM AUTHOR]