The Importance of Integrated Regulation Mechanism of Coronary Microvascular Function for Maintaining the Stability of Coronary Microcirculation: An Easily Overlooked Perspective

Autor: Houyong Zhu, Hanxin Wang, Xinyu Zhu, Qilan Chen, Xiaojiang Fang, Xiaoqun Xu, Yan Ping, Beibei Gao, Guoxin Tong, Yu Ding, Tielong Chen, Jinyu Huang
Rok vydání: 2022
Předmět:
Zdroj: Advances in therapy.
ISSN: 1865-8652
Popis: Coronary microvascular dysfunction (CMD) refers to a group of disorders affecting the structure and function of coronary microcirculation and is associated with an increased risk of major adverse cardiovascular events. At present, great progress has been made in the diagnosis of CMD, but there is no specific treatment for it because of the complexity of CMD pathogenesis. Vascular dysfunction is one of the important causes of CMD, but previous reviews mostly considered microvascular dysfunction as a whole abnormality so the obtained conclusions are skewed. The coronary microvascular function is co-regulated by multiple mechanisms, and the mechanisms by which microvessels of different luminal diameters are regulated vary. The main purpose of this review is to revisit the mechanisms by which coronary microvessels at different diameters regulate coronary microcirculation through integrated sequential activation and briefly discuss the pathogenesis, diagnosis, and treatment progress of CMD from this perspective.
Databáze: OpenAIRE