Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1556
Title: How to Diagnose and Manage Angina Without Obstructive Coronary Artery Disease: Lessons from the British Heart Foundation CorMicA Trial
Authors: Ford, Tom ;Berry, C.
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: May-2019
Source: 14(2):76-82.
Journal title: Interventional Cardiology
Department: Cardiology
Abstract: Patients with symptoms and/or signs of ischaemia but no obstructive coronary artery disease (INOCA) present a diagnostic and therapeutic challenge. Microvascular and/or vasospastic angina are the two most common causes of INOCA; however, invasive coronary angiography lacks the sensitivity to diagnose these functional coronary disorders. In this article, the authors summarise the rationale for invasive testing in the absence of obstructive coronary disease, namely that correct treatment for angina patients starts with the correct diagnosis. They provide insights from the CORonary MICrovascular Angina (CorMicA) study, where an interventional diagnostic procedure was performed with linked medical therapy to improve patient health. Identification of these distinct disorders (microvascular angina, vasospastic angina or non-cardiac chest pain) is key for stratifying INOCA patients, allowing prognostic insights and better patient care with linked therapy based on contemporary guidelines. Finally, they propose a framework to diagnose and manage patients in this common clinical scenario.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1556
DOI: 10.15420/icr.2019.04.R1
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/31178933
ISSN: 1756-1485
Publicaton type: Journal Article
Keywords: Cardiology
Cardiovascular Disease
Heart Disease
Appears in Collections:Cardiology

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