Known yet underdiagnosed:Invasive assessment of coronary microvascular disease and its implications  

作　　者：Sukhdeep Bhogal Akash Batta Bishav Mohan 

机构地区：[1]Department of Cardiology,Sovah Health,Martinsville,VA 24112,United States [2]Department of Cardiology,Dayanand Medical College and Hospital,Ludhiana 141001,Punjab,India

出　　处：《World Journal of Cardiology》2025年第1期8-14,共7页世界心脏病学杂志(英文)

摘　　要：Coronary microvascular disease(CMD)is one of the commonest causes of cardiac chest pain.The condition is more prevalent in women,and incidence is known to increase with age,hypertension,and diabetes.The pathophysiological pathways are heterogenous and related to intrinsic vascular and endothelial dysfunction.Furthermore,this entity is known to be associated with adverse cardiovascular outcomes.Despite this,there is inertia amongst cardiologists to further evaluate patients with non-critical coronary artery disease and suspected CMD.With refinement in technology,we have now better understanding of CMD and invasive testing in the catheterization laboratory is a viable option for confirming the diagnosis of CMD.However,despite advances in diagnosing and stratifying this entity,therapeutic options remain limited and poorly defined.In this editorial,we will briefly focus on the pathophysiology and invasive assessment and therapeutic options available for CMD.

关 键 词：Coronary microvascular disease Endothelial dysfunction Invasive assessment Coronary flow reserve Hyperemic myocardial velocity resistance Pressurewire X 

分 类 号：R54[医药卫生—心血管疾病]