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ANMCO POSITION PAPER: Prognostic and therapeutic relevance of non-obstructive coronary atherosclerosis
- Source :
- European Heart Journal Supplements : Journal of the European Society of Cardiology
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Atherosclerosis often affects the coronary arterial tree. Frequently the disease does not translate in significant narrowing of the vessels, thus determining only a non-obstructive disease. This condition that is described as non-obstructive coronary artery disease (NobsCAD) should be distinguished from the absence of disease (i.e. smooth coronary arteries) as it carries a specific prognostic value. The detection and reporting of NobsCAD should prompt preventive measures that can be individualized upon the degree of the underlying burden of disease. The accompanying clinical condition, the other cardiovascular risk factors present, and the description of the severity and extent of NobsCAD should provide the framework for an individualized treatment that should also consider the best available scientific evidence and guidelines. The description of NobsCAD represents important information to be collected whenever a coronary angiogram (both invasive and non-invasive) is performed. Treating the patient according to the presence and extent of NobsCAD offers prognostic benefits well beyond those offered by considering only the traditional cardiovascular risk factors. In order to reach this goal, NobsCAD should not be confused with the absence of coronary atherosclerosis or even ignored when detected as if it was a trivial information to provide.
- Subjects :
- medicine.medical_specialty
Cardiovascular risk factors
Coronary Artery Disease
Disease
Coronary angiogram
Non-obstructive CAD
Coronary Angiography
Coronary artery disease
Risk Factors
medicine
Humans
Relevance (law)
AcademicSubjects/MED00200
Intensive care medicine
Coronary atherosclerosis
business.industry
Articles
Atherosclerosis
Prognosis
medicine.disease
Coronary arteries
medicine.anatomical_structure
Position paper
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15542815 and 1520765X
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- European Heart Journal Supplements
- Accession number :
- edsair.doi.dedup.....e08d2b6aa6d7eb2272c68008840f0ebb