Effects of mineralocorticoid receptor antagonists on coronary microcirculation: a mini-review [PDF]
Mineralocorticoid receptor antagonists (MRAs) serve as a foundational therapies in the management of heart failure, hypertension, and chronic kidney disease.
Yu Li, Zhenhong Zhang
doaj +2 more sources
Coronary Microvascular Dysfunction: Pathophysiology, Clinical Phenotypes, and Mechanism-Guided Diagnostic Strategies [PDF]
Coronary microvascular dysfunction (CMD) is a prevalent and clinically important cause of myocardial ischemia across the spectrum of coronary artery disease, including patients with angina and nonobstructive coronary arteries, persistent symptoms after ...
Divyansh Sharma +9 more
doaj +2 more sources
Diffusely impaired myocardial perfusion in patients with suspected coronary artery disease: Clinical utility of relative perfusion [PDF]
Abstract Background In patients with suspected coronary artery disease (CAD), diffusely impaired hyperaemic myocardial blood flow (MBF) may indicate a multivessel epicardial CAD but also impaired coronary microcirculation. We assessed whether relative hyperaemic MBF—that is, the ratio of the lowest to the highest regional hyperaemic MBF—predicts ...
Niklas Vartiainen +9 more
wiley +2 more sources
Although myocardial ischaemia usually manifests as a consequence of atherosclerosis-dependent obstructive epicardial coronary artery disease, a significant percentage of patients suffer ischaemic events in the absence of epicardial coronary artery obstruction.
Padro, Teresa +15 more
openaire +2 more sources
Invasive coronary physiology in patients with angina and non-obstructive coronary artery disease: a consensus document from the coronary microvascular dysfunction workstream of the British Heart Foundation/National Institute for Health Research Partnership [PDF]
Nearly half of all patients with angina have non-obstructive coronary artery disease (ANOCA); this is an umbrella term comprising heterogeneous vascular disorders, each with disparate pathophysiology and prognosis.
Rahman, H. +39 more
core +1 more source
Coronary microvascular dysfunction is associated with impaired cognitive function: the Cerebral-Coronary Connection study (C3 study) [PDF]
Background It remains unknown whether the presence of coronary microcirculatory dysfunction (CMD) correlates with its equivalent conditionin the brain, cerebral small vessel disease (CSVD).
de Diego, Jose Juan Gomez +32 more
core +1 more source
Findings suggestive of coronary microvascular dysfunction in cats with myocardial ischemia [PDF]
Background: Myocardial infarction is an important cause of death and disability among humans worldwide. Few studies have reported the occurrence of myocardial infarction in small animals as well.
Guillermo Belerenian +7 more
doaj +1 more source
BackgroundUp to 50% of acute myocardial infarction (MI) patients present with microvascular dysfunction, after a successful percutaneous coronary intervention (PCI), which leads to worse clinical outcomes.
Marta Silva +12 more
doaj +1 more source
Pathophysiological factors contributing to fractional flow reserve and instantaneous wave-free ratio discordance [PDF]
The diagnostic accuracy and clinical benefits of instantaneous wave-free ratio (iFR) compared to fractional flow reserve (FFR) have been well-established in the literature. Despite the advantages of non-hyperemic pressure indices, approximately 20% of
Benjamin Fogelson +3 more
doaj +1 more source
Coronary Microvascular Angina: A State-of-the-Art Review
Up to 60–70% of patients, undergoing invasive coronary angiography due to angina and demonstrable myocardial ischemia with provocative tests, do not have any obstructive coronary disease. Coronary microvascular angina due to a dysfunction of the coronary
Francesco Spione +5 more
doaj +1 more source

