PDF(Pubmed)
Abstract：
UNASSIGNED: Ischaemia with no obstructive coronary arteries (INOCA) has been a diagnostic and therapeutic challenge for decades. Several studies have demonstrated that INOCA is associated with an increased risk of death, adverse cardiovascular events, poor quality of life and high healthcare cost. Although there is increasing recognition of this entity in the Western population, in the Asian population, INOCA remains elusive and its prevalence uncertain. Despite its prognostic significance, diagnosis of INOCA is often delayed. In this review, we identified the multiple barriers to its diagnosis and management, and proposed strategies to overcome them.
摘要：
几十年来，无阻塞性冠状动脉缺血（INOCA）一直是诊断和治疗的挑战。一些研究表明，INOCA与死亡风险增加有关，不良心血管事件，生活质量差，医疗费用高。尽管西方人口对这一实体的认识日益提高，在亚洲人口中，INOCA仍然难以捉摸，其患病率不确定。尽管具有预后意义，INOCA的诊断经常延迟。在这次审查中,我们确定了其诊断和管理的多重障碍，并提出了克服它们的策略。
