- Title
- Targeted Therapies for Microvascular Disease
- Creator
- Bland, Adam; Chuah, Eunice; Meere, William; Ford, Thomas J.
- Relation
- Heart Failure Clinics Vol. 20, p. 91-99
- Publisher Link
- http://dx.doi.org/10.1016/j.hfc.2023.06.003
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2024
- Description
- Coronary microvascular dysfunction (CMD) is a common cause of ischemia but no obstructive coronary artery disease that results in an inability of the coronary microvasculature to meet myocardial oxygen demand. CMD is challenging to diagnose and manage due to a lack of mechanistic research and targeted therapy. Recent evidence suggests we can improved patient outcomes by stratifying antianginal therapies according to the diagnosis revealed by invasive assessment of the coronary microcirculation. This review article appraises the evidence for management of CMD, which includes treatment of cardiovascular risk, antianginal therapy and therapy for atherosclerosis.
- Subject
- angina; coronary microvascular dysfunction (CMD); ischemia but no obstructive coronary artery disease (INOCA); ischemia; management
- Identifier
- http://hdl.handle.net/1959.13/1494753
- Identifier
- uon:53867
- Identifier
- ISSN:1551-7136
- Language
- eng
- Reviewed
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