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Clinical reviews
ISCHEMIA WITH NONOBSTRUCTIVE CORONARY ARTERY DISEASE: CONCEPT, ASSESSMENT, AND MANAGEMENT
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PDF202316 pages4.2 MB
In daily clinical practice, physicians often encounter patients with angina or evidence of myocardial ischemia from noninvasive tests but without obstructive coronary artery disease. This condition, known as ischemia with nonobstructive coronary arteries (INOCA), is associated with recurrent chest pain and poor clinical outcomes. The document emphasizes the need for invasive physiologic assessment to diagnose INOCA and identify its underlying mechanisms, which can guide mechanism-specific management strategies for affected patients.
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