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Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…proBNP are more frequent in this pattern. Endothelial dysfunction may contribute to both microvascular and epicardial vasomotor disorders. Endothelial activation can promote the release of…

No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…to the angiographic appearance of the treated epicardial artery, because the defining abnormality is inadequate distal perfusion in the absence of a major residual epicardial…

Atherosclerosis: Pathogenesis from Fatty Streak to Plaque Rupture

…extracellular matrix remodelling, and thrombosis interact to produce focal arterial lesions. Although epicardial coronary arteries are a major site of disease, atherosclerosis is systemic and…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…Chronic coronary syndromes (CCS) comprise the clinical manifestations of chronic structural and/or functional disease involving the epicardial coronary arteries and/or the coronary microcirculation…

Complications of Coronary Angiography and Vascular Access Management

…contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced from a peripheral artery to the aortic root and coronary ostia…

Fractional Flow Reserve and Non-Hyperaemic Pressure Ratios

…reserve (FFR) is an invasive, lesion specific physiological index used to estimate the functional significance of an epicardial coronary stenosis. It is defined during maximal…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…obstructive lesion Coronary embolism or thrombus Epicardial coronary vasospasm Coronary microvascular dysfunction Spontaneous coronary artery dissection (SCAD) Standard angiography may fail to demonstrate plaque disruption…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…and infarction Definition and therapeutic rationale Multivessel coronary artery disease (CAD) refers to clinically significant atherosclerotic disease affecting two or more major epicardial coronary arteries…

Vasospastic (Prinzmetal) Angina: Provocation Testing and Treatment

…arteries. Epicardial spasm produces a reversible functional occlusion and usually causes transmural ischaemia. The resulting abnormalities in left ventricular function may lead to myocardial infarction…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…predominantly from obstructive epicardial coronary disease, coronary vasospasm, microvascular dysfunction, or combinations of these mechanisms. Drug selection can therefore be tailored to the suspected mechanism…

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