articleEuropean Heart JournalJun 1, 2020BRONZE OA

An EAPCI Expert Consensus Document on Ischaemia with Non-Obstructive Coronary Arteries in Collaboration with European Society of Cardiology Working Group on Coronary Pathophysiology & Microcirculation Endorsed by Coronary Vasomotor Disorders International Study Group

VKVijay KunadianACAlaide ChieffoPGPaolo G. CamiciCBColin BerryJEJavier Escaned

Newcastle upon Tyne Hospitals NHS Foundation Trust · Freeman Hospital · +30 more institutions

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Abstract

This consensus document, a summary of the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI), appraises the importance of ischaemia with non-obstructive coronary arteries (INOCA). Angina pectoris affects approximately 112 million people globally. Up to 70% of patients undergoing invasive angiography do not have obstructive coronary artery disease, more common in women than in men, and a large proportion have INOCA as a cause of their symptoms. INOCA patients present with a wide spectrum of symptoms and signs that are often misdiagnosed as non-cardiac leading to under-diagnosis/investigation and under-treatment. INOCA can result from heterogeneous…

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Topics & keywords

Topics
Keywords
  • Medicine
  • Internal medicine
  • Angina
  • Cardiology
  • Coronary arteries
  • Coronary artery disease
  • Coronary vasospasm
  • Asymptomatic
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