Invasive Detection of Coronary Microvascular Dysfunction: How It Began, and Where We Are Now.

IF 0.2 0 PHILOSOPHY Interventional Cardiology Review Pub Date : 2023-03-07 eCollection Date: 2023-01-01 DOI:10.15420/icr.2022.30
Samer Fawaz, Sarosh Khan, Rupert Simpson, Gerald Clesham, Christopher M Cook, John R Davies, Grigoris V Karamasis, Thomas R Keeble
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Abstract

The landscape of interventional cardiology is ever evolving. Contemporary practice has shifted from a stenosis-centred approach to the total characterisation of both the epicardial and microcirculatory vessels. Microcirculatory dysfunction plays an important role in the pathophysiology of acute and chronic coronary syndromes, and characterisation of the microcirculation has important clinical consequences. Accordingly, the invasive diagnosis of microcirculatory dysfunction is becoming a key feature of the interventional cardiologist's toolkit. This review focuses on the methodology underpinning the invasive diagnosis of microvascular dysfunction and highlights the indices that have arisen from these methodologies.

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冠状动脉微血管功能障碍的侵入性检测:它是如何开始的,以及我们现在的处境。
介入心脏病学的前景正在不断发展。当代实践已经从以狭窄为中心的方法转向心外膜和微循环血管的全面表征。微循环功能障碍在急性和慢性冠状动脉综合征的病理生理学中起着重要作用,微循环的表征具有重要的临床意义。因此,微循环功能障碍的侵入性诊断正成为介入心脏病专家工具包的一个关键特征。这篇综述的重点是支持微血管功能障碍侵入性诊断的方法,并强调了这些方法产生的指标。
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来源期刊
Interventional Cardiology Review
Interventional Cardiology Review Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.30
自引率
0.00%
发文量
18
审稿时长
12 weeks
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