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Journal of Education, Health and Sport

Microvascular angina – an abstruse path to diagnose and to treat – a review of literature
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  • Microvascular angina – an abstruse path to diagnose and to treat – a review of literature
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Microvascular angina – an abstruse path to diagnose and to treat – a review of literature

Authors

  • Urszula Matuszewska Medical University of Gdansk https://orcid.org/0009-0002-1667-3448
  • Aleksandra Nykowska MEDINET General Practice Clinic, Legii Wrzesinskiej 23c, 62-300 Wrzesnia https://orcid.org/0009-0000-2853-9823
  • Katarzyna Beutler University Clinical Hospital of Poznan, Dluga ½, 61-848 Poznan https://orcid.org/0009-0000-4219-5676
  • Bartosz Bijata University Clinical Hospital of Poznan, Dluga ½, 61-848 Poznan https://orcid.org/0009-0005-5874-2183
  • Dawid Burek Salvita General Practice Clinic, Lecha 120 61-298 Poznań https://orcid.org/0009-0009-0114-5184
  • Aleksandra Paszkowska St. John Paul II Specialized Medical Center S.A., Jana Pawla II 2, 57-320 Polanica Zdroj https://orcid.org/0009-0002-1042-0220
  • Aleksandra Kujawa Medical University of Warsaw, Zwirki i Wigury 61, 02-091 Warszawa https://orcid.org/0009-0003-3538-8631

DOI:

https://doi.org/10.12775/JEHS.2024.51.015

Keywords

microvascular angina, coronary microvascular dysfunction, cardiac syndrome X, microcirculation, chronic coronary syndrome

Abstract

Introduction: Chronic coronary syndrome is predominantly related to the atherosclerotic obstruction of the coronary artery or arteries. However, this phenomenon is not the only causative factor in this disease. It is usually forgotten, that there is a possibility of ischemia of the cardiac muscle with no obstruction found in the main vessel. The trigger of such pathology might be underlying in the microcirculatory system and the inappropriate dilation or constriction of those small vessels, which results in insufficient blood supply to the cardiomyocytes, similarly to the typical obstructive coronary artery disease. In this article we are willing to show that such dysfunction poses a great danger to the health and life and therefore we should be able to properly diagnose and treat it.

Purpose of the work: The aim of this review of up-to-date literature is to raise awareness among both doctors and patients about the phenomenon of coronary artery disease but with no significant obstruction in the vessels supplying the cardiac muscle. The common cause of such condition is coronary microvascular dysfunction, that leads to a disease called microvascular angina. Our purpose was to reveal, how dangerous to the health of the patients this could be and therefore how essential it is to provide a proper diagnose and management. In addition, we have noticed a need for a summary of what has already been discovered on this topic, available therapeutic methods and future perspectives.

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Published

2024-01-10

How to Cite

1.
MATUSZEWSKA, Urszula, NYKOWSKA, Aleksandra, BEUTLER, Katarzyna, BIJATA, Bartosz, BUREK, Dawid, PASZKOWSKA, Aleksandra and KUJAWA, Aleksandra. Microvascular angina – an abstruse path to diagnose and to treat – a review of literature. Journal of Education, Health and Sport. Online. 10 January 2024. Vol. 51, pp. 198-216. [Accessed 6 July 2025]. DOI 10.12775/JEHS.2024.51.015.
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Vol. 51 (2024)

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Review Articles

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Copyright (c) 2024 Urszula Matuszewska, Aleksandra Nykowska, Katarzyna Beutler, Bartosz Bijata, Dawid Burek, Aleksandra Paszkowska, Aleksandra Kujawa

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