Stable coronary syndromes

Corcoran, D., Ford, T. J. and Berry, C. (2019) Stable coronary syndromes. In: Touyz, R. M. and Delles, C. (eds.) Textbook of Vascular Medicine. Springer: Cham, pp. 373-381. ISBN 9783030164805 (doi: 10.1007/978-3-030-16481-2_35)

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Angina pectoris is usually considered a consequence of flow-limiting epicardial coronary artery disease (CAD), which impairs myocardial blood flow and results in myocardial ischaemia (i.e. ischaemic heart disease, IHD). In clinical practice, the diagnostic management of patients with angina centres on the detection of obstructive epicardial CAD, and the treatment involves optimal medical therapy and consideration of myocardial revascularisation using percutaneous coronary intervention or coronary artery bypass grafting. This clinical paradigm fails to account for the considerable proportion of patients with angina in whom obstructive epicardial disease is excluded (i.e. angina and nonobstructive coronary artery disease, ANOCA). This common scenario presents a diagnostic conundrum. Stable coronary syndrome (SCS) is a term which subtends a clinically relevant classification that fully encompasses the different diseases of the epicardial and microvascular coronary circulation. In this chapter, we describe the causes of angina based on the underlying coronary vascular pathophysiology and discuss the diagnostic and therapeutic approaches to patients with angina secondary to disorders of coronary vascular dysfunction.

Item Type:Book Sections
Glasgow Author(s) Enlighten ID:Berry, Professor Colin and Corcoran, Dr David and Ford, Thomas
Authors: Corcoran, D., Ford, T. J., and Berry, C.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Published Online:03 August 2019

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