دورية أكاديمية
Prevalence of Coronary Microvascular Disease and Coronary Vasospasm in Patients With Nonobstructive Coronary Artery Disease: Systematic Review and Meta-Analysis.
| العنوان: | Prevalence of Coronary Microvascular Disease and Coronary Vasospasm in Patients With Nonobstructive Coronary Artery Disease: Systematic Review and Meta-Analysis. |
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| المؤلفون: | Mileva, N., Nagumo, S., Mizukami, T., Sonck, J., Berry, C., Gallinoro, E., Monizzi, G., Candreva, A., Munhoz, D., Vassilev, D., Penicka, M., Barbato, E., De Bruyne, B., Collet, C. |
| المصدر: | Journal of the American Heart Association, vol. 11, no. 7, pp. e023207 |
| سنة النشر: | 2022 |
| المجموعة: | Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
| مصطلحات موضوعية: | Coronary Angiography, Coronary Artery Disease/diagnostic imaging, Coronary Artery Disease/epidemiology, Coronary Vasospasm/diagnostic imaging, Coronary Vasospasm/epidemiology, Coronary Vessels/diagnostic imaging, Female, Humans, Male, Microcirculation, Microvascular Angina, Prevalence, angina with nonobstructive coronary artery disease, ischemia with no obstructive coronary artery disease, vasospastic angina |
| الوصف: | Background A relevant proportion of patients with suspected coronary artery disease undergo invasive coronary angiography showing normal or nonobstructive coronary arteries. However, the prevalence of coronary microvascular disease (CMD) and coronary spasm in patients with nonobstructive coronary artery disease remains to be determined. The objective of this study was to determine the prevalence of coronary CMD and coronary vasospastic angina in patients with no obstructive coronary artery disease. Methods and Results A systematic review and meta-analysis of studies assessing the prevalence of CMD and vasospastic angina in patients with no obstructive coronary artery disease was performed. Random-effects models were used to determine the prevalence of these 2 disease entities. Fifty-six studies comprising 14 427 patients were included. The pooled prevalence of CMD was 0.41 (95% CI, 0.36-0.47), epicardial vasospasm 0.40 (95% CI, 0.34-0.46) and microvascular spasm 24% (95% CI, 0.21-0.28). The prevalence of combined CMD and vasospastic angina was 0.23 (95% CI, 0.17-0.31). Female patients had a higher risk of presenting with CMD compared with male patients (risk ratio, 1.45 [95% CI, 1.11-1.90]). CMD prevalence was similar when assessed using noninvasive or invasive diagnostic methods. Conclusions In patients with no obstructive coronary artery disease, approximately half of the cases were reported to have CMD and/or coronary spasm. CMD was more prevalent among female patients. Greater awareness among physicians of ischemia with no obstructive coronary arteries is urgently needed for accurate diagnosis and patient-tailored management. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2047-9980 |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/35301851; info:eu-repo/semantics/altIdentifier/eissn/2047-9980; info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_50E3B2AAE3E00; https://serval.unil.ch/notice/serval:BIB_50E3B2AAE3E0Test; urn:issn:2047-9980; https://serval.unil.ch/resource/serval:BIB_50E3B2AAE3E0.P001/REF.pdfTest; http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_50E3B2AAE3E00Test |
| DOI: | 10.1161/JAHA.121.023207 |
| الإتاحة: | https://doi.org/10.1161/JAHA.121.023207Test https://serval.unil.ch/notice/serval:BIB_50E3B2AAE3E0Test https://serval.unil.ch/resource/serval:BIB_50E3B2AAE3E0.P001/REF.pdfTest http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_50E3B2AAE3E00Test |
| حقوق: | info:eu-repo/semantics/openAccess ; CC BY-NC 4.0 ; https://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: | edsbas.9EAD4B38 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20479980 |
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| DOI: | 10.1161/JAHA.121.023207 |