Why the study?
Contemporary interventional cardiology has shifted toward total characterisation of epicardial and microcirculatory vessels, making the invasive diagnosis of microvascular dysfunction increasingly clinically important.
Provides an overview of the methodologies and indices used for the invasive diagnosis of coronary microvascular dysfunction in contemporary interventional cardiology.
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Consolidates invasive CMD diagnostic methodologies; leaves open standardization for clinical adoption and research consistency.
The landscape of interventional cardiology is ever evolving. Contemporary practice has shifted from a stenosis-centred approach to the total characterisation of both the epicardial and microcirculatory vessels. Microcirculatory dysfunction plays an important role in the pathophysiology of acute and chronic coronary syndromes, and characterisation of the microcirculation has important clinical consequences. Accordingly, the invasive diagnosis of microcirculatory dysfunction is becoming a key feature of the interventional cardiologist's toolkit. This review focuses on the methodology underpinning the invasive diagnosis of microvascular dysfunction and highlights the indices that have arisen from these methodologies.
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Fawaz et al. (2023) studied this question.
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