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Optimizing Management of Stable Angina: A Patient-Centered Approach Integrating Revascularization, Medical Therapy, and Lifestyle Interventions.
Montone, Rocco A; Rinaldi, Riccardo; Niccoli, Giampaolo; Andò, Giuseppe; Gragnano, Felice; Piccolo, Raffaele; Pelliccia, Francesco; Moscarella, Elisabetta; Zimarino, Marco; Fabris, Enrico; de Rosa, Salvatore; Calabrò, Paolo; Porto, Italo; Burzotta, Francesco; Grigioni, Francesco; Barbato, Emanuele; Chieffo, Alaide; Capodanno, Davide; Al-Lamee, Rasha; Ford, Tom J; Brugaletta, Salvatore; Indolfi, Ciro; Sinagra, Gianfranco; Perrone Filardi, Pasquale; Crea, Filippo.
Afiliación
  • Montone RA; Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Electronic address: roccoantonio.montone@unicatt.it.
  • Rinaldi R; Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Hospital Clínic, Cardiovascular Clinic Institute, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
  • Niccoli G; Department of Medicine, University of Parma, Parma, Italy.
  • Andò G; Department of Clinical and Experimental Medicine, University of Messina, AOU Policlinico "Gaetano Martino," Messina, Italy.
  • Gragnano F; Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli," Caserta, Italy; Division of Clinical Cardiology, AORN "Sant'Anna e San Sebastiano," Caserta, Italy.
  • Piccolo R; Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
  • Pelliccia F; Department of Cardiovascular Sciences, "La Sapienza" University, Rome, Italy.
  • Moscarella E; Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli," Caserta, Italy; Division of Clinical Cardiology, AORN "Sant'Anna e San Sebastiano," Caserta, Italy.
  • Zimarino M; Department of Neuroscience, Imaging and Clinical Sciences, "Gabriele d'Annunzio" University of Chieti-Pescara, Chieti, Italy; Department of Cardiology, "SS. Annunziata Hospital," Abruzzo, Chieti, Italy.
  • Fabris E; Cardio-thoraco-vascular Department, Azienda Sanitaria Universitaria Giuliano Isontina, University of Trieste, Trieste, Italy.
  • de Rosa S; Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
  • Calabrò P; Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli," Caserta, Italy; Division of Clinical Cardiology, AORN "Sant'Anna e San Sebastiano," Caserta, Italy.
  • Porto I; Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Burzotta F; Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Grigioni F; Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
  • Barbato E; Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
  • Chieffo A; Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy.
  • Capodanno D; Division of Cardiology, A.O.U. Policlinico "G. Rodolico-San Marco," University of Catania, Catania, Italy.
  • Al-Lamee R; National Heart and Lung Institute, Imperial College London, London, United Kingdom.
  • Ford TJ; Faculty of Medicine, University of Newcastle, Newcastle, New South Wales, Australia.
  • Brugaletta S; Hospital Clínic, Cardiovascular Clinic Institute, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
  • Indolfi C; Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
  • Sinagra G; Cardio-thoraco-vascular Department, Azienda Sanitaria Universitaria Giuliano Isontina, University of Trieste, Trieste, Italy.
  • Perrone Filardi P; Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
  • Crea F; Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Center of Excellence of Cardiovascular Sciences, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy.
J Am Coll Cardiol ; 84(8): 744-760, 2024 Aug 20.
Article en En | MEDLINE | ID: mdl-39142729
ABSTRACT
Angina pectoris may arise from obstructive coronary artery disease (CAD) or in the absence of significant CAD (ischemia with nonobstructed coronary arteries [INOCA]). Therapeutic strategies for patients with angina and obstructive CAD focus on reducing cardiovascular events and relieving symptoms, whereas in INOCA the focus shifts toward managing functional alterations of the coronary circulation. In obstructive CAD, coronary revascularization might improve angina status, although a significant percentage of patients present angina persistence or recurrence, suggesting the presence of functional mechanisms along with epicardial CAD. In patients with INOCA, performing a precise endotype diagnosis is crucial to allow a tailored therapy targeted toward the specific pathogenic mechanism. In this expert opinion paper, we review the evidence for the management of angina, highlighting the complementary role of coronary revascularization, optimal medical therapy, and lifestyle interventions and underscoring the importance of a personalized approach that targets the underlying pathobiology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Angina Estable / Revascularización Miocárdica Límite: Humans Idioma: En Revista: J Am Coll Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Angina Estable / Revascularización Miocárdica Límite: Humans Idioma: En Revista: J Am Coll Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos