[A case of stable microvascular angina with normal coronary arteries: certainties and doubts]. / Un caso di angina microvascolare stabile a coronarie indenni: certezze e dubbi.
Clin Ter
; 166(1): 26-31, 2015.
Article
em It
| MEDLINE
| ID: mdl-25756257
Myocardial ischemia is caused in most cases by the obstruction of epicardial coronary vessels. Several studies, however, have shown that abnormalities in the coronary microcirculation can also contribute to myocardial ischemia. Microvascular dysfuntion is defined as primary microvascular angina (MVA) to distinguish it from other forms of secondary microvascular angina due to such diseases as arterial hypertension, left ventricular hypertrophy, myocardial disease, metabolic syndrome and collagen diseases. We present the case report of a 48-year-old male patient who coronarographically showed coronary slow flow with delayed distal vessel opacification in the absence of coronary stenosis. Whilst this phenomenon is still not completely understood, strong evidence suggests that the primary alteration is caused by a dysfunction of small coronary vessels.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Angina Microvascular
/
Circulação Coronária
/
Angina Estável
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
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Male
/
Middle aged
Idioma:
It
Revista:
Clin Ter
Ano de publicação:
2015
Tipo de documento:
Article
País de publicação:
Itália