Key result
Microvascular angina affects ~20-30% of symptomatic angiography patients and delayed diagnosis increases cardiovascular complications.
Microvascular angina is a prevalent condition, especially in postmenopausal women, requiring prompt diagnosis to improve quality of life and reduce cardiovascular complications.
May warrant consideration in typical angina with normal coronaries; leaves open prospective validation of diagnostic and therapeutic strategies.
Microvascular angina (MVA) is one of the common clinical manifestations of myocardial ischemia in the absence of hemodynamically significant stenosis of the epicardial coronary arteries. According to contemporary studies, MVA is identified in approximately 20–30% of patients referred for coronary angiography because of typical anginal symptoms and is more frequently diagnosed in women, particularly during the postmenopausal period. Delayed diagnosis of this condition may contribute to the persistence of symptoms, deterioration in quality of life, increased risk of cardiovascular complications, and recurrent hospitalizations
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Otabekova et al. (2026) conducted a review in Microvascular angina. Microvascular angina is identified in 20-30% of patients referred for coronary angiography with typical symptoms, and delayed diagnosis increases the risk of cardiovascular complications.
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