A Proposal of an Echocardiography-Based Pathway for the Diagnosis and Management of Angina with No Obstructive Coronary Arteries: A State-of-the-Art Review.

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ID: 321911
2026
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Abstract
Abstract In this paper we are discussing the currently available tools in the diagnosis of angina with non-occlusive coronary artery disease (ANOCA) a potentially disabling condition that affects approximately 30-60% of patients with angina. With the advancement in ultrasound technology, multi-parametric stress echocardiography in combination with hyperventilation provocation echocardiography lends itself as a bedside, scalable, safe and cost-effective test to triage patients who may require downstream invasive functional coronary angiography. The review is providing with the critical appraisal of the current invasive and non-invasive imaging modalities before the proposal of a fully non-invasive echocardiography-based pathway to identify ANOCA endotypes to allow delivery of targeted therapy for symptom control to avoid recurrent hospital admissions and to monitor treatment effect to improve quality of life and prognosis in ANOCA patients.
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openalex_W7170092676 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Attila Kardos, Benjamin Bussmann, Maria George, Giovanni Luigi De Maria, Nicola Gaibazzi
Journal European Heart Journal - Imaging Methods and Practice
Year 2026
DOI
10.1093/ehjimp/qyag129
URL
https://doi.org/10.1093/ehjimp/qyag129
Keywords Keywords not found

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