Non-invasive imaging assessment in angina with non-obstructive coronary arteries (ANOCA)

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2025-02-25 DOI:10.1016/j.cpcardiol.2025.103021

Luca Bergamaschi MD , Antonio De Vita MD , Angelo Villano MD , Saverio Tremamunno MD , Matteo Armillotta MD , Francesco Angeli MD , Marta Belmonte MD , Pasquale Paolisso MD, PhD , Alberto Foà MD, PhD , Emanuele Gallinoro MD, PhD , Alberto Polimeni MD , Vincenzo Sucato MD , Doralisa Morrone MD, PhD , Domenico Tuttolomondo MD , Anna Giulia Pavon MD , Marco Guglielmo MD , Nicola Gaibazzi MD , Saima Mushtaq MD , Pasquale Perrone Filardi MD, PhD , Ciro Indolfi MD, PhD , Carmine Pizzi MD

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Abstract

Due to its significant prevalence and clinical implications, angina with non-obstructive coronary arteries (ANOCA) has become a major focus in modern cardiology. In fact, diagnosing ANOCA presents a significant challenge. The final diagnosis is often difficult, delayed, and frequently necessitates an invasive assessment through coronary angiography. However, recent improvements in non-invasive cardiac imaging allow a diagnosis of ANOCA using a combination of clinical evaluation, anatomical coronary imaging, and functional testing. This narrative review aims to critically assess various non-invasive diagnostic methods and propose a multimodal approach to diagnose ANOCA and tailor appropriate treatments.

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非阻塞性冠状动脉（ANOCA）心绞痛的无创影像学评价。

由于其显著的患病率和临床意义，非阻塞性冠状动脉心绞痛（ANOCA）已成为现代心脏病学的主要焦点。事实上，诊断ANOCA是一项重大挑战。最终诊断往往是困难的，延迟的，并且经常需要通过冠状动脉造影进行侵入性评估。然而，近年来无创心脏成像技术的进步使得ANOCA的诊断可以结合临床评估、解剖冠状动脉成像和功能测试。这篇叙述性综述旨在批判性地评估各种非侵入性诊断方法，并提出一种多模式的方法来诊断ANOCA并定制适当的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.