Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease

More than half of the patients with symptoms suggestive of myocardial ischemia presenting at invasive angiography have no obstructive coronary artery disease (CAD). A large proportion of these patients have ischemia caused by coronary microvascular dysfunction, a condition associated with adverse ca...

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Main Authors: Daria Frestad Bechsgaard, Eva Prescott
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Interventional Cardiology
Online Access:http://dx.doi.org/10.1155/2021/6689312
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author Daria Frestad Bechsgaard
Eva Prescott
author_facet Daria Frestad Bechsgaard
Eva Prescott
author_sort Daria Frestad Bechsgaard
collection DOAJ
description More than half of the patients with symptoms suggestive of myocardial ischemia presenting at invasive angiography have no obstructive coronary artery disease (CAD). A large proportion of these patients have ischemia caused by coronary microvascular dysfunction, a condition associated with adverse cardiovascular prognosis. Measurement of coronary flow velocity reserve by transthoracic Doppler echocardiography is a feasible and reproducible method for the evaluation of coronary microvascular function. This review provides a practical overview of the method in a clinical setting of angina and noobstructive CAD, including technical details and prognostic significance.
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spelling doaj-art-e6d02010fad14439a45d346558b9d8132025-08-20T02:21:10ZengWileyJournal of Interventional Cardiology0896-43271540-81832021-01-01202110.1155/2021/66893126689312Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery DiseaseDaria Frestad Bechsgaard0Eva Prescott1Department of Cardiology, North Zealand University Hospital, University of Copenhagen, Dyrehavevej 29, Hillerød 3400, DenmarkDepartment of Cardiology, Bispebjerg University Hospital, University of Copenhagen, Bispebjerg Bakke 23, Copenhagen 2400, DenmarkMore than half of the patients with symptoms suggestive of myocardial ischemia presenting at invasive angiography have no obstructive coronary artery disease (CAD). A large proportion of these patients have ischemia caused by coronary microvascular dysfunction, a condition associated with adverse cardiovascular prognosis. Measurement of coronary flow velocity reserve by transthoracic Doppler echocardiography is a feasible and reproducible method for the evaluation of coronary microvascular function. This review provides a practical overview of the method in a clinical setting of angina and noobstructive CAD, including technical details and prognostic significance.http://dx.doi.org/10.1155/2021/6689312
spellingShingle Daria Frestad Bechsgaard
Eva Prescott
Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
Journal of Interventional Cardiology
title Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
title_full Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
title_fullStr Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
title_full_unstemmed Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
title_short Transthoracic Assessment of Coronary Flow Velocity Reserve: A Practical Approach to Diagnostic Testing in Patients with Angina and No Obstructive Coronary Artery Disease
title_sort transthoracic assessment of coronary flow velocity reserve a practical approach to diagnostic testing in patients with angina and no obstructive coronary artery disease
url http://dx.doi.org/10.1155/2021/6689312
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