Review of current research on microvascular angina

Insufficient awareness of the etiology and pathogenesis of microvascular angina (MVA), as well as certain difficulties in diagnostic search, can lead to untimely or erroneous diagnosis. Objective. To generalize and systematize the available data on MVA and to raise awareness of doctors about modern diagnostic methods. Materials and methods. The selection of literature sources was carried out in the databases PubMed, GoogleScholar, Web of Science by keywords: coronary heart disease, microvascular angina, cardiac syndrome X for the period 2003-2023. Results and discussion. The article provides a general overview of the problem of MVA as an independent disease, provides various points of view on this problem, and identifies the difficulties of finding possible causes of its development. Special attention is paid to diagnostic algorithms and differential diagnostics. Conclusion. When working with patients with complaints of chest pain, it is important to remember about the features of MVA and conduct the necessary examination to exclude it.