Psychological burden in patients with angina and unobstructed coronary arteries-underestimated, underexplored, undertreated.

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Herz Pub Date : 2024-08-01 Epub Date: 2024-06-19 DOI:10.1007/s00059-024-05253-2
Peter Ong, Astrid Hubert, Zineb Moussaoui, Raffi Bekeredjian, Frank Vitinius, Karl-Heinz Ladwig
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引用次数: 0

Abstract

Patients with angina and unobstructed coronary arteries (ANOCA) are frequently encountered in clinical practice. These cases represent a diagnostic and therapeutic challenge and are often characterized by a long patient journey until a diagnosis of coronary vasomotor disorders is established. Moreover, the unsatisfactory management of such patients leads to insecurity, ongoing symptoms, and psychological sequelae such as anxiety or depression. Currently, the psychological burden in patients with ANOCA is underestimated, underexplored, and undertreated. This review gives a new perspective on the pathophysiology of coronary vasomotor disorders including psychological risk factors and calls for comprehensive care by interdisciplinary ANOCA clinics.

Abstract Image

冠状动脉未阻塞的心绞痛患者的心理负担--被低估、探索不足、治疗不力。
在临床实践中,经常会遇到心绞痛和冠状动脉不通畅(ANOCA)的患者。这些病例是诊断和治疗方面的难题,在确诊为冠状动脉血管运动障碍之前,患者往往要经历漫长的治疗过程。此外,对这类患者的治疗效果不理想会导致患者缺乏安全感、症状持续存在以及焦虑或抑郁等心理后遗症。目前,ANOCA 患者的心理负担被低估、探索不足、治疗不力。这篇综述从一个新的角度阐述了冠状血管运动障碍的病理生理学,包括心理风险因素,并呼吁跨学科 ANOCA 诊所提供全面的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Herz
Herz 医学-心血管系统
CiteScore
3.00
自引率
5.90%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Herz is the high-level journal for further education for all physicians interested in cardiology. The individual issues of the journal each deal with specific topics and comprise review articles in English and German written by competent and esteemed authors. They provide up-to-date and comprehensive information concerning the speciality dealt with in the issue. Due to the fact that all relevant aspects of the pertinent topic of an issue are considered, an overview of the current status and progress in cardiology is presented. Reviews and original articles round off the spectrum of information provided.
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