| Autor: |
Ajmal, Muhammad, Widmer, R. Jay, Corban, Michel T. |
| Zdroj: |
Current Treatment Options in Cardiovascular Medicine; Jul2023, Vol. 25 Issue 7, p219-232, 14p |
| Abstrakt: |
Purpose of review: Coronary endothelial and microvascular dysfunction leads to chronic angina (ANOCA) and ischemia (INOCA) in the absence of obstructive epicardial coronary artery disease. These highly prevalent conditions have been associated with increased morbidity and mortality. Comprehensive coronary reactivity testing (CRT) is performed in the cardiac catheterization laboratory to definite diagnosis followed by phenotype-based therapies in this challenging patient population. This document is intended to describe the step-by-step performance of CRT procedure in the cath lab and interpretation of the test results. Recent findings: Catheter-based diagnosis and phenotype-based treatment have shown to improve angina and quality of care in the recent studies. However, access and availability of CRT remain limited in the USA in part due to the lack of training in performance and interpretation of CRT results among interventional cardiology fellows and thus interventional cardiologists post-graduation. Summary: We hope that widespread understanding of the procedural details and results interpretation will ultimately help proceduralist perform this safe procedure, which in turn will help improve access to CRT nationwide associated with accurate diagnosis and treatment of this patient population. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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