Microvascular angina: definition, clinical manifestations, diagnosis and treatment

• Usenko E.V.
• Tereshina O.V.
• Ryabova E.N.
• Yuriy V. Shchukin
• Trusov Yu.A.

AbstractMicrovascular angina is associated with poor prognosis and with higher rates of adverse cardiovascular events. This diseases typically manifests as angina, nevertheless coronary angiography reveals no or hemodynamically insignificant lesions of coronary arteries. In this context, diagnosis is a challenge for cardiologists, and often these patients remain without adequate treatment. The correct diagnosis of microvascular angina is needed for improvement of prognosis of these patients. The coronary microvasculature cannot be directly assessed using coronary angiography because of small vessel diameter, so diagnostic mainly bases on functional test. The treatment of microvascular angina includes generally the standard anti-ischemic drugs. Taken into account the enow widespread of microvascular angina among patients with chest pain, clinicians should be aware of clinical manifestations and prognosis of this pathology. This review devoted to pathophysiology, diagnosis and treatment of microvascular angina.

Keywords:ischemic heart disease, microvascular angina, coronary flow reserve, diagnosis, treatment

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