Coronary disease & ACSRandomised controlled trial

A Multidomain Lifestyle Intervention for Invasively Confirmed ANOCA

JACC Cardiovasc IntervPublished

  • Randomised controlled trial
  • prospective
  • multicentre
  • blinded endpoint assessment

Authors' conclusion

In patients with invasively confirmed ANOCA, a structured multidomain lifestyle intervention provided clinically meaningful improvements in patient-reported health status on top of endotype-guided medical therapy.

Study context

Population
Patients with angina and invasive evidence of coronary microvascular dysfunction and/or coronary vasomotor disorder (ANOCA)
Participants
123 patients
Comparison
Intervention vs Control
  • Interventionn = 62
  • Controln = 61reference
Primary endpoint
Change in Seattle Angina Questionnaire summary score
Follow-up
12 months

Primary result

As reported in the abstract

Seattle Angina Questionnaire summary score (adjusted mean improvement)

Between-group difference

13.12 points

95% CI 9.68–16.56

P < 0.001

Intervention vs Control
between-group difference 13.12 points (95% CI 9.68–16.56); P < 0.001

Further findings

OutcomeInterventionControladjusted risk ratio (95% CI)P value
Clinically meaningful improvement in SAQ summary score (≥10-point increase) · 12 months77%Not reported in the abstract1.98 (1.20–3.26)P < 0.001

EuroQol 5-Dimension 5-Level index and Beck Depression Inventory scores

Significant improvements with intervention

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

A Multidomain Lifestyle Intervention for Invasively Confirmed ANOCA. JACC Cardiovasc Interv. Published 27 July 2026. doi:10.1016/j.jcin.2026.05.021

Summarised from the published abstract; every number is checked against it