Coronary Microvascular Dysfunction Across the Spectrum of Cardiovascular Diseases: JACC State-of-the-Art Review

Filippo Crea, Marco Giuseppe Del Buono, Rocco Antonio Montone, Massimiliano Camilli, Giampaolo Niccoli, Salvatore Carbone, Jagat Narula, Carl J. Lavie

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Coronary microvascular dysfunction (CMD) encompasses several pathogenetic mechanisms involving coronary microcirculation and plays a major role in determining myocardial ischemia in patients with angina without obstructive coronary artery disease, as well as in several other conditions, including obstructive coronary artery disease, nonischemic cardiomyopathies, takotsubo syndrome, and heart failure, especially the phenotype associated with preserved ejection fraction. Unfortunately, despite the identified pathophysiological and prognostic role of CMD in several conditions, to date, there is no specific treatment for CMD. Due to the emerging role of CMD as common denominator in different clinical phenotypes, additional research in this area is warranted to provide personalized treatments in this “garden variety” of patients. The purpose of this review is to describe the pathophysiological mechanisms of CMD and its mechanistic and prognostic role across different cardiovascular diseases. We will also discuss diagnostic modalities and the potential therapeutic strategies resulting from recent clinical studies.
Lingua originaleEnglish
pagine (da-a)1352-1371
Numero di pagine20
RivistaJOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
Volume78
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • angina
  • Microcirculation
  • coronary microvascular dysfunction
  • coronary spasm
  • heart failure
  • HFpEF
  • INOCA
  • ischemia
  • ischemic heart disease
  • microcirculation
  • microvascular angina
  • MINOCA
  • provocative testing
  • Animals
  • Cardiovascular Diseases
  • Coronary Vessels
  • Humans
  • Iatrogenic Disease
  • Microvessels
  • Coronary Circulation
  • coronary flow reserve

Fingerprint

Entra nei temi di ricerca di 'Coronary Microvascular Dysfunction Across the Spectrum of Cardiovascular Diseases: JACC State-of-the-Art Review'. Insieme formano una fingerprint unica.

Cita questo