Coronary Microvascular Dysfunction: PET, CMR and CT Assessment
Microvascular dysfunction is responsible for chest pain in various kinds of patients, including those with obstructive coronary artery disease and persistent symptoms despite revascularization, or those with myocardial disease without coronary stenosis. Its diagnosis can be performed with an advance...
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MDPI AG
2021-04-01
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author | Elisabetta Tonet Graziella Pompei Evelina Faragasso Alberto Cossu Rita Pavasini Giulia Passarini Matteo Tebaldi Gianluca Campo |
author_facet | Elisabetta Tonet Graziella Pompei Evelina Faragasso Alberto Cossu Rita Pavasini Giulia Passarini Matteo Tebaldi Gianluca Campo |
author_sort | Elisabetta Tonet |
collection | DOAJ |
description | Microvascular dysfunction is responsible for chest pain in various kinds of patients, including those with obstructive coronary artery disease and persistent symptoms despite revascularization, or those with myocardial disease without coronary stenosis. Its diagnosis can be performed with an advanced imaging technique such as positron emission tomography, which represents the gold standard for diagnosing microvascular abnormalities. In recent years, cardiovascular magnetic resonance and cardiac computed tomography have demonstrated to be emerging modalities for microcirculation assessment. The identification of microvascular disease represents a fundamental step in the characterization of patients with chest pain and no epicardial coronary disease: its identification is important to manage medical strategies and improve prognosis. The present overview summarizes the main techniques and current evidence of these advanced imaging strategies in assessing microvascular dysfunction and, if present, their relationship with invasive evaluation. |
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format | Article |
id | doaj.art-e43b11b32a2c4dd997f97e2113681110 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T12:01:20Z |
publishDate | 2021-04-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
spelling | doaj.art-e43b11b32a2c4dd997f97e21136811102023-11-21T16:56:03ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109184810.3390/jcm10091848Coronary Microvascular Dysfunction: PET, CMR and CT AssessmentElisabetta Tonet0Graziella Pompei1Evelina Faragasso2Alberto Cossu3Rita Pavasini4Giulia Passarini5Matteo Tebaldi6Gianluca Campo7Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyDepartment of Cardiology and Cardiac Surgery, Cardiovascular Imaging, GVM Care&Research, 42121 Reggio Emilia, ItalyDepartment of Morphology, Surgery and Experimental Medicine, Section of Radiology, University of Ferrara, 44124 Ferrara, ItalyCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, ItalyMicrovascular dysfunction is responsible for chest pain in various kinds of patients, including those with obstructive coronary artery disease and persistent symptoms despite revascularization, or those with myocardial disease without coronary stenosis. Its diagnosis can be performed with an advanced imaging technique such as positron emission tomography, which represents the gold standard for diagnosing microvascular abnormalities. In recent years, cardiovascular magnetic resonance and cardiac computed tomography have demonstrated to be emerging modalities for microcirculation assessment. The identification of microvascular disease represents a fundamental step in the characterization of patients with chest pain and no epicardial coronary disease: its identification is important to manage medical strategies and improve prognosis. The present overview summarizes the main techniques and current evidence of these advanced imaging strategies in assessing microvascular dysfunction and, if present, their relationship with invasive evaluation.https://www.mdpi.com/2077-0383/10/9/1848microvascular dysfunctionanginapositron emission tomographycardiac magnetic resonancecardiac computer tomography |
spellingShingle | Elisabetta Tonet Graziella Pompei Evelina Faragasso Alberto Cossu Rita Pavasini Giulia Passarini Matteo Tebaldi Gianluca Campo Coronary Microvascular Dysfunction: PET, CMR and CT Assessment Journal of Clinical Medicine microvascular dysfunction angina positron emission tomography cardiac magnetic resonance cardiac computer tomography |
title | Coronary Microvascular Dysfunction: PET, CMR and CT Assessment |
title_full | Coronary Microvascular Dysfunction: PET, CMR and CT Assessment |
title_fullStr | Coronary Microvascular Dysfunction: PET, CMR and CT Assessment |
title_full_unstemmed | Coronary Microvascular Dysfunction: PET, CMR and CT Assessment |
title_short | Coronary Microvascular Dysfunction: PET, CMR and CT Assessment |
title_sort | coronary microvascular dysfunction pet cmr and ct assessment |
topic | microvascular dysfunction angina positron emission tomography cardiac magnetic resonance cardiac computer tomography |
url | https://www.mdpi.com/2077-0383/10/9/1848 |
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