What an interventionalist needs to know about INOCA

Ang, D. T. Y. and Berry, C. (2021) What an interventionalist needs to know about INOCA. Interventional Cardiology Review, 16, e32. (doi: 10.15420/icr.2021.16) (PMID:34950239) (PMCID:PMC8674629)

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Publisher's URL: https://doi.org/10.15420/icr.2021.16


Ischaemia with non-obstructed coronary artery disease (INOCA) remains a diagnostic and therapeutic challenge. An anatomical investigation-based approach to ischaemic heart disease fails to account for disorders of vasomotion. The main INOCA endotypes are microvascular angina, vasospastic angina, mixed (both) or non-cardiac symptoms. The interventional diagnostic procedure (IDP) enables differentiation between clinical endotypes, with linked stratified medical therapy leading to a reduced symptom burden and a better quality of life. Interventionists are therefore well placed to make a positive impact with more personalised care. Despite adjunctive tests of coronary function being supported by contemporary guidelines, IDP use in daily practice remains limited. More widespread adoption should be encouraged. This article reviews a stratified approach to INOCA, describes a streamlined approach to the IDP and highlights some practical and safety considerations.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Ang, Dr Daniel and Berry, Professor Colin
Authors: Ang, D. T. Y., and Berry, C.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Interventional Cardiology Review
Publisher:Radcliffe Cardiology
ISSN (Online):1756-1485
Published Online:08 December 2021
Copyright Holders:Copyright © 2021 Radcliffe Cardiology
First Published:First published in Interventional Cardiology Review 16: e32
Publisher Policy:Reproduced under a Creative Commons License

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