Diseases of the Coronary Microcirculation: Diagnosis and Treatment.

ABSTRACT:

Background

Coronary microvascular dysfunction (CMD) comprises a variety of pathogenic mechanisms that impair the microcirculation of the heart. Clinical studies have shown that 30-50% of patients suffering from myocardial ischemia without significant coronary artery stenosis have CMD. The disease is associated with ele - vated mortality and poor quality of life. Whenever a patient presents with symptoms of angina pectoris and no underlying disease is detected by the usual methods, CMD should be considered a possible cause.

Methods

This review is based on publications retrieved by a selective search in PubMed and on current international guidelines and recommendations of specialty societies.

Results

The diagnosis of CMD is based on objective evidence of a microvascular

SUBMITTER: Ullrich-Daub H 

PROVIDER: S-EPMC10722490 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature