冠状动脉未阻塞的心绞痛或缺血:特定的诊断和治疗方案

Riccardo Rinaldi, Francesco Spione, Filippo Maria Verardi, Pablo Vidal Calés, Víctor Arévalos, Rami Gabani, Daniel Cánovas, M. Gutiérrez, M. Pardo, R. Domínguez, L. Pintor, X. Torres, Xavier Freixa, Ander Regueiro, Omar Abdul-Jawad Altisent, Manel Sabaté y, Salvatore Brugaletta
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引用次数: 0

摘要

导言和目的:冠状动脉无阻塞性心绞痛(ANOCA)或冠状动脉无阻塞性心肌缺血(INOCA)患者的系统治疗方法尚未常规实施。方法:所有被诊断为 ANOCA/INOCA 的连续患者都会被转诊到指定门诊进行筛查,以评估他们是否符合 NOCA 计划的条件。如果符合条件,患者将按计划接受冠状动脉造影、冠状动脉功能测试和冠状动脉内乙酰胆碱激发试验。医学治疗也相应地进行了优化。随后,对所有患者进行了 1、3、6 和 12 个月的随访。基线和 3 个月随访评估包括西雅图心绞痛问卷 (SAQ) 和 EuroQol-5D 问卷。
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Angina o isquemia con arterias coronarias no obstruidas: un protocolo diagn�stico y terap�utico espec�fico
Introduction and objectives : A systematic approach to patients with angina with no obstructed coronary arteries (ANOCA) or ischemia with no obstructed coronary arteries (INOCA) patients is not routinely implemented. Methods: All consecutive patients diagnosed with ANOCA/INOCA were referred to a designated outpatient clinic for a screening visit to assess their eligibility for a NOCA program. If eligible, patients underwent scheduled coronary angiograms with coronary function testing and intracoronary acetylcholine provocation testing. Medical therapy was optimized accordingly. All patients were then followed up at 1, 3, 6, and 12 months. Baseline and 3-month follow-up assessments included the Seattle Angina Questionnaire (SAQ) and EuroQol-5D questionnaire.
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