RT Journal Article
T1 Invasive evaluation of coronary microvascular dysfunction
A1 Travieso, Alejandro
A1 Jeronimo Baza, Adrian
A1 Faria, Daniel
A1 Shabbir, Asad
A1 Mejía Rentería, Hernán David
A1 Escaned Barbosa, Javier
AB Coronary microvascular dysfunction (CMD) is a prevalent cause of ischemic heart disease and is associated with poorer quality of life and worse patient outcomes. Both functional and structural abnormalities of the microcirculation can generate ischemia in the absence of epicardial stenosis or worsen concomitant obstructive coronary artery disease (CAD). The invasive assessment of CMD allows for the evaluation of the entirety of the coronary vascular tree, from the large epicardial vessels to the microcirculation, and enables the study of vasomotor function through vasoreactivity testing. The standard evaluation of CMD includes vasomotor assessment with acetylcholine, as well as flow- and resistance-derived indices calculated with either thermodilution or Doppler guidewires. Tailored treatment based upon the information gathered from the invasive evaluation of CMD has been demonstrated to reduce the burden of angina; therefore, a thorough understanding of these procedures is warranted with the aim of improving the quality of life of the patient. This review summarizes the most widespread approaches for the invasive evaluation of CMD, with a focus on patients with ischemia and nonobstructive CAD.
PB Springer Nature
SN 1071-3581
YR 2022
FD 2022-05-26
LK https://hdl.handle.net/20.500.14352/71653
UL https://hdl.handle.net/20.500.14352/71653
LA eng
NO CRUE-CSIC (Acuerdos Transformativos 2022)
DS Docta Complutense
RD 1 sept 2024