Cited by 30Cardiac Imaging and DiagnosticsCoronary Interventions and DiagnosticsHeart rate and cardiovascular health

Coronary microvascular dysfunction

Open access
Sucato, Vincenzo, Novo, Giuseppina, Saladino, Antonino, Evola, Salvatore, Galassi, Alfredo R.·2020·Minerva Cardioangiologica

Abstract

Patients with coronary microvascular dysfunction (CMVD) represent a widespread population and despite the good prognosis, many of them have a poor quality of life with strong limitations in their daily activities because of the angina symptoms. This article summarizes the most frequent clinical presentation pictures like stable and unstable microvascular angina. Main risk factors are discussed, followed by the latest updates on the subject about different pathogenic hypotheses, diagnosis and treatment. Not very well understood microvascular alterations, like slow flow phenomenon and no reflow are discussed and both prognosis and the impact of the disease in the quality of life are analyzed.

Integrity signals

Registry

Crossref · 10.23736/s0026-4725.20.05070-7

Cites

70 of 70 references verified0 citation errors · 0 not checkable

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  • Coronary microvascular dysfunction (CMD) is a prevalent condition that poses significant challenges for cardiologists due to its disabling nature, often manifesting as persistent angina in affected patients.

    “A possible role in residual cardiovascular risk can be played by coronary microvascular dysfunction (CMD), which is a prevalent condition that poses significant challenges for cardiologists due to its disabling nature, often manifesting as persistent angina in affected patients [44].”

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Authors
Sucato, V., Novo, G., Saladino, A., Evola, S., & Galassi, A. R.
Affiliations
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo (IT)
Corresponding author
Sucato, Vincenzo
Venue
Minerva Cardioangiologica
Published
2020-05
Volume
68
Issue
2
Pages
153-163
ISSN
  • 0026-4725 (ISSN-L)
  • 1827-1618
OpenAlex
W3009153505
Cited by
30
References
70
Citations by year
2026: 1 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 9 · 2021: 3 · 2020: 2
FWCI
0.81
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Minerva Cardioangiologica (publishedVersion)
  • PubMed (publishedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
Keywords
coronary microvascular dysfunction, microvascular angina, stable angina, unstable angina, risk factors, pathogenesis, diagnosis, treatment, slow-flow phenomenon, no-reflow phenomenon, prognosis, quality of life
MeSH terms
Coronary Circulation, Coronary Vessels, Humans, Prognosis, Quality of Life, Risk Factors, Microvascular Angina, No-Reflow Phenomenon

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