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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Main Authors: Elisabetta Tonet, Graziella Pompei, Evelina Faragasso, Alberto Cossu, Rita Pavasini, Giulia Passarini, Matteo Tebaldi, Gianluca Campo
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/9/1848
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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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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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AT graziellapompei coronarymicrovasculardysfunctionpetcmrandctassessment
AT evelinafaragasso coronarymicrovasculardysfunctionpetcmrandctassessment
AT albertocossu coronarymicrovasculardysfunctionpetcmrandctassessment
AT ritapavasini coronarymicrovasculardysfunctionpetcmrandctassessment
AT giuliapassarini coronarymicrovasculardysfunctionpetcmrandctassessment
AT matteotebaldi coronarymicrovasculardysfunctionpetcmrandctassessment
AT gianlucacampo coronarymicrovasculardysfunctionpetcmrandctassessment