Key result
Management of coronary microvascular dysfunction requires evaluating the underlying cause, iatrogenic factors, and the presence of obstructive coronary artery disease or myocardial disease.
Design
Review
Supports etiology-guided CMD evaluation; leaves open prospective validation of targeted strategies.
This review discusses the pathogenesis and management of coronary microvascular dysfunction. Factors to consider in clinical management are the cause of the dysfunction and whether it is iatrogenic, whether obstructive coronary artery disease is present, and whether myocardial disease is present.
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Camici et al. (2007) studied this question. Management of coronary microvascular dysfunction requires evaluating the underlying cause, iatrogenic factors, and the presence of obstructive coronary artery disease or myocardial disease.
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