Coronary disease & ACS

Absolute coronary blood flow across different endotypes of angina with non-obstructive coronary arteries (ANOCA)

EuroInterventionPublished Diagnostic study

Authors' conclusion

In our study, Qmax and Rμ,hyper were associated with a positive CFT. Qmax was associated with the presence of microvascular dysfunction but not with a positive acetylcholine test.

Study context

Population
Patients with angina with non-obstructive coronary arteries (ANOCA) undergoing clinically indicated coronary function testing (CFT) incl. Acetylcholine (ACh) provocation and bolus and continuous thermodilution120 included in analysis
Participants
222 patients
Comparison
Qmax and Rμ,hyper across ANOCA endotypes
  • CFT-n = 32reference
  • Coronary microvascular dysfunction (CMD)+n = 62
  • ACh+n = 63
Outcome
Hyperaemic absolute coronary flow (Qmax) and absolute microvascular resistance (Rμ,hyper) across ANOCA endotypes

Performance

As reported in the abstract

Qmax

CMD+ vs CMD-: P = 0.04 · ACh+ vs ACh-: P = 0.86

Further findings

Prevalence of endotypes

Original publication

Absolute coronary blood flow across different endotypes of ANOCA. EuroIntervention. Published 7 October 2024. doi:10.4244/eij-d-24-00111

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

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