Known yet underdiagnosed:Invasive assessment of coronary microvascular disease and its implications

作     者：Sukhdeep Bhogal Akash Batta Bishav Mohan 

作者机构：Department of CardiologySovah HealthMartinsvilleVA 24112United States Department of CardiologyDayanand Medical College and HospitalLudhiana 141001PunjabIndia 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志(英文))

年 卷 期：2025年第17卷第1期

页      面：8-14页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Coronary microvascular disease Endothelial dysfunction Invasive assessment Coronary flow reserve Hyperemic myocardial velocity resistance Pressurewire X 

摘      要：Coronary microvascular disease(CMD)is one of the commonest causes of cardiac chest *** condition is more prevalent in women,and incidence is known to increase with age,hypertension,and *** pathophysiological pathways are heterogenous and related to intrinsic vascular and endothelial ***,this entity is known to be associated with adverse cardiovascular *** this,there is inertia amongst cardiologists to further evaluate patients with non-critical coronary artery disease and suspected *** refinement in technology,we have now better understanding of CMD and invasive testing in the catheterization laboratory is a viable option for confirming the diagnosis of ***,despite advances in diagnosing and stratifying this entity,therapeutic options remain limited and poorly *** this editorial,we will briefly focus on the pathophysiology and invasive assessment and therapeutic options available for CMD.