Diagnostic approach in patients with angina and no obstructive coronary artery disease: emphasising the role of the coronary function test.

ABSTRACT:

Background

Many patients with angina do not have obstructive coronary artery disease (CAD), also referred to as "Ischaemia with No Obstructive Coronary Arteries" (INOCA). Coronary vascular dysfunction is the underlying cause of this ischaemic heart disease in as much as 59-89% of these patients, including the endotypes of coronary microvascular dysfunction and epicardial coronary vasospasm. Currently, a coronary function test (CFT) is the only comprehensive diagnostic modality to evaluate all endotypes of coronary vascular dysfunction in patients with INOCA.

Objective

In this paper we discuss the relevance of performing a CFT, provide considerations for patient selection, and present an overview of the procedure and its safety.

Methods

We reviewed the latest published

SUBMITTER: Konst RE 

PROVIDER: S-EPMC7904984 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature