Cardiovasc Imaging Asia.  2021 Jul;5(3):83-93. 10.22468/cvia.2021.00129.

Invasive and Non-Invasive Imaging for Ischaemia with No Obstructive Coronary Artery Disease

Affiliations
  • 1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, China
  • 2Department of Medical Imaging, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
  • 3Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
  • 4Imperial College, London, United Kingdom

Abstract

Ischaemia with no obstructive coronary artery disease (INOCA) affects up to 50% of patients referred for coronary angiography for suspected angina. Although originally thought to be benign, recent data shows that patients with INOCA have an adverse prognosis. There are challenges in identifying and managing the underlying cause, which is most often attributed to coronary microvascular disease or coronary vasospasm. This review will cover the clinical relevance and prognosis of INOCA as well as the invasive and non-invasive imaging techniques available to identify the underlying aetiology. Upcoming technological advancements will also be discussed.

Keyword

Ischemia; Coronary artery disease; Angina; Imaging; Invasive
Full Text Links
  • CVIA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr