期刊
EXPERT REVIEW OF CARDIOVASCULAR THERAPY
卷 11, 期 11, 页码 1515-1525出版社
TAYLOR & FRANCIS INC
DOI: 10.1586/14779072.2013.833854
关键词
cardiac magnetic resonance; coronary microvascular dysfunction; diagnosis; myocardial perfusion reserve
资金
- NIBIB NIH HHS [T32 EB003841] Funding Source: Medline
- NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING [T32EB003841] Funding Source: NIH RePORTER
Coronary microvascular dysfunction (CMD) also known as syndrome X, is characterized by typical anginal symptoms, evidence of myocardial ischemia on non-invasive testing and normal to minimal coronary disease on coronary angiography. It has a female preponderance and has been detected in up to 50% of women presenting with chest pain symptoms. Definitive diagnosis of CMD is critical as recent evidence suggests that women with this condition are at increased risk of cardiovascular events in the future. Invasive coronary reactivity testing on coronary angiography is considered to be the 'gold standard' for diagnosis of CMD. Non-invasive imaging techniques such as PET and cardiac magnetic resonance hold promise for detection of CMD in the future.
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