Non-invasive imaging assessment in angina with non-obstructive coronary arteries (ANOCA)

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2025-02-25 DOI:10.1016/j.cpcardiol.2025.103021

Luca Bergamaschi MD , Antonio De Vita MD , Angelo Villano MD , Saverio Tremamunno MD , Matteo Armillotta MD , Francesco Angeli MD , Marta Belmonte MD , Pasquale Paolisso MD, PhD , Alberto Foà MD, PhD , Emanuele Gallinoro MD, PhD , Alberto Polimeni MD , Vincenzo Sucato MD , Doralisa Morrone MD, PhD , Domenico Tuttolomondo MD , Anna Giulia Pavon MD , Marco Guglielmo MD , Nicola Gaibazzi MD , Saima Mushtaq MD , Pasquale Perrone Filardi MD, PhD , Ciro Indolfi MD, PhD , Carmine Pizzi MD

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Abstract

Due to its significant prevalence and clinical implications, angina with non-obstructive coronary arteries (ANOCA) has become a major focus in modern cardiology. In fact, diagnosing ANOCA presents a significant challenge. The final diagnosis is often difficult, delayed, and frequently necessitates an invasive assessment through coronary angiography. However, recent improvements in non-invasive cardiac imaging allow a diagnosis of ANOCA using a combination of clinical evaluation, anatomical coronary imaging, and functional testing. This narrative review aims to critically assess various non-invasive diagnostic methods and propose a multimodal approach to diagnose ANOCA and tailor appropriate treatments.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.