The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Microvascular disease, what little we know

EuroIntervention 2018;14:e499-e501 published online e-edition August 2018. DOI: 10.4244/EIJV14I5A89

VU University Medical Center, Amsterdam, the Netherlands

Very often we encounter a diagnostic problem in patients with symptoms and signs of cardiac ischaemia, but without overt disease in the epicardial coronary arteries. We used to disregard the findings and stop the diagnostic approach right there. Patients were reassured and sent home on the supposition that the symptoms were not related to the heart. In 2018 this is no longer acceptable for the patients (often female) and the treating physicians. But how are we going to illustrate a disease that is difficult to prove, comes with variable symptoms and is hard to treat in a customised way?


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