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In patients with persistent angina, coronary functional testing is recommended to identify treatable CMD and improve quality of life.1-3
Physiology testing of the heart can only be carried out by an interventional cardiologist.
If you are a general practitioner, please ensure you provide your patient with a referral to the selected specialist to enable them to book a consultation.
INOCA: Ischaemia with No Obstructive Coronary Arteries
CMD: Coronary Microvascular Disease
References:
- Taqueti V, Di Carli M. Coronary microvascular disease pathogenic mechanisms and therapeutic options: JACC state-of-the-art review. J Am Coll Cardiol. 2018;72(21):2625–2641.
- Lee B, Lim SH, Fearon W, et al. Invasive evaluation of patients with angina in the absence of obstructive coronary artery disease. Circulation. 2015;131(12):1054-1060.
- 2024 ESC Guidelines for the Management of Chronic Coronary Syndromes. Eur. Heart J. ehae177, https://doi.org/10.1093/eurheartj/ehae177
