Coronary Microvascular Dysfunction: Insights on Prognosis and Future Perspectives.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Reviews in cardiovascular medicine Pub Date : 2025-01-20 eCollection Date: 2025-01-01 DOI:10.31083/RCM25757
Filippo Luca Gurgoglione, Giorgio Benatti, Andrea Denegri, Davide Donelli, Marco Covani, Mattia De Gregorio, Gabriella Dallaglio, Rebecca Navacchi, Giampaolo Niccoli
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Abstract

Coronary microvascular dysfunction (CMD) comprises a wide spectrum of structural and/or functional abnormalities of coronary microcirculation that can lead to myocardial ischemia. Emerging evidence has indicated that CMD is a relevant cause of morbidity and mortality and is associated with a high risk of major adverse cardiovascular events (MACEs) and heart failure with preserved ejection fraction as well as poor quality of life. This review aims to elucidate briefly the pathogenesis and diagnostic modalities of CMD and to shed light on contemporary evidence on the prognostic impact of CMD. Finally, we will provide an overview of novel emerging therapeutic strategies for CMD.

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冠状动脉微血管功能障碍:预后和未来展望的见解。
冠状动脉微血管功能障碍(CMD)包括广泛的冠状动脉微循环结构和/或功能异常,可导致心肌缺血。新出现的证据表明,CMD是发病率和死亡率的相关原因,与主要不良心血管事件(mace)和保留射血分数的心力衰竭的高风险以及生活质量差有关。本文旨在简要阐明CMD的发病机制和诊断方式,并阐明CMD对预后影响的当代证据。最后,我们将概述新的CMD治疗策略。
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来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
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