Review
Medicine, General & Internal
Paolo Severino, Andrea D'Amato, Silvia Prosperi, Vincenzo Myftari, Lorenzo Colombo, Elisa Tomarelli, Alice Piccialuti, Gianluca Di Pietro, Lucia Ilaria Birtolo, Viviana Maestrini, Roberto Badagliacca, Gennaro Sardella, Francesco Fedele, Carmine Dario Vizza, Massimo Mancone
Summary: Ischemic heart disease (IHD) is the leading cause of death globally. The presence of myocardial infarction with non-obstructive coronary artery disease (MINOCA), which can be classified into atherosclerotic and non-atherosclerotic mechanisms, is increasingly recognized. Coronary microvascular dysfunction (CMD) is a leading factor for the pathophysiology and prognosis of MINOCA patients, and further research is needed to understand the genetic mechanisms underlying CMD.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Andrea Milzi, Rosalia Dettori, Richard Karl Lubberich, Sebastian Reith, Michael Frick, Kathrin Burgmaier, Nikolaus Marx, Mathias Burgmaier
Summary: Myocardial infarction without obstructive coronary artery disease (MINOCA) is a condition characterized by myocardial necrosis without obstruction of major coronary arteries. This study aimed to assess coronary microvascular dysfunction (CMD) in MINOCA patients and explore its association with different subtypes of MINOCA.
CLINICAL RESEARCH IN CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Min Gyu Kang, Bon-Kwon Koo, Udaya S. Tantry, Kyehwan Kim, Jong-Hwa Ahn, Hyun Woong Park, Jeong Rang Park, Seok-Jae Hwang, Jin-Yong Hwang, Paul A. Gurbel, Habib Samady, Jin-Sin Koh, Young-Hoon Jeong
Summary: This study revealed a close association between heightened thrombogenicity and coronary microvascular dysfunction (CMD) in patients with acute myocardial infarction (AMI), and their prognostic implications after reperfusion. High platelet-fibrin clot strength (P-FCS) was found to significantly increase the risk of postprocedural CMD, with patients having both CMD and high P-FCS exhibiting a higher rate of ischemic events.
JACC-BASIC TO TRANSLATIONAL SCIENCE
(2021)
Article
Cardiac & Cardiovascular Systems
Tomohiro Yoshii, Yasushi Matsuzawa, So Kato, Ryosuke Sato, Youhei Hanajima, Shinnosuke Kikuchi, Hidefumi Nakahashi, Masaaki Konishi, Eiichi Akiyama, Yugo Minamimoto, Yuichiro Kimura, Kozo Okada, Nobuhiko Maejima, Noriaki Iwahashi, Toshiaki Ebina, Kiyoshi Hibi, Masami Kosuge, Toshihiro Misumi, Kouichi Tamura, Kazuo Kimura
Summary: This study aimed to investigate the association of endothelial dysfunction with major bleeding and specific causes of death in addition to major adverse cardiovascular events in patients with acute coronary syndrome. The results showed that endothelial dysfunction predicted future major cardiovascular event as well as major bleeding and cardiovascular death in these patients.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Review
Cell Biology
Fujie Zhao, Ganesh Satyanarayana, Zheng Zhang, Jianli Zhao, Xin-Liang Ma, Yajing Wang
Summary: Coronary microvascular dysfunction is a type of abnormality in coronary microcirculation that leads to impaired coronary blood flow and myocardial ischemia, associated with various cardiovascular diseases. Insufficient or uncontrolled activation of endothelial autophagy plays a significant role in the pathogenesis of CMD.
Review
Hematology
Shigeo Godo, Akira Suda, Jun Takahashi, Satoshi Yasuda, Hiroaki Shimokawa
Summary: Accumulating evidence over the past few decades has shown that structural and functional abnormalities of coronary microvasculature are highly prevalent and associated with adverse clinical outcomes in patients with various cardiovascular diseases. CMD has been recognized as an important clinical entity, with potential mechanisms including enhanced coronary vasoconstrictive reactivity at the microvascular level.
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY
(2021)
Article
Dermatology
Stefano Piaserico, Evangelia Papadavid, Annagrazia Cecere, Gloria Orlando, Konstantrinos Theodoropoulos, Pelagia Katsimbri, George Makavos, Penelope Rafouli-Stergiou, Sabino Iliceto, Mauro Alaibac, Francesco Tona, Ignatios Ikonomidis
Summary: Severe psoriasis is associated with an increased cardiovascular risk, and coronary microvascular dysfunction (CMD) has been shown to predict a poor cardiovascular prognosis. This study evaluated the prevalence and predictors of CMD in a large cohort of patients with psoriasis without clinical cardiovascular disease. The results showed that higher PASI, longer disease duration, the presence of psoriatic arthritis, and hypertension were independently associated with CMD.
JOURNAL OF INVESTIGATIVE DERMATOLOGY
(2023)
Article
Pharmacology & Pharmacy
Filippo Crea, Rocco A. Montone
Summary: This article provides updated evidence on the pathophysiological mechanisms underlying coronary microvascular dysfunction (CMD) across different cardiovascular diseases, aiming to pave the way for further research and the development of novel strategies for a precision medicine approach.
VASCULAR PHARMACOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Nazanin Rajai, Ali Ahmad, Takumi Toya, Jaskanwal D. Sara, Joerg Herrmann, Lilach O. Lerman, Amir Lerman
Summary: Coronary microvascular dysfunction (CMD) is associated with a higher risk of cancer incidence in patients with non-obstructive coronary artery diseases (NOCADs). This study found that 34% of NOCADs patients had CMD, and CMD was independently associated with cancer occurrence.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Fabio Mangiacapra, Michele Mattia Viscusi, Luca Paolucci, Annunziata Nusca, Rosetta Melfi, Gian Paolo Ussia, Francesco Grigioni
Summary: The treatment strategy for MINOCA patients is not established and further research is needed to provide personalized treatments.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Peripheral Vascular Disease
Jonathan A. Mailey, Julie S. Moore, Paul F. Brennan, Min Jing, Agnes Awuah, James A. D. McLaughlin, M. Andrew Nesbit, Tara C. B. Moore, Mark S. Spence
Summary: Coronary microvascular dysfunction (CMD) can be observed non-invasively in the bulbar conjunctiva, which suggests that conjunctival vascular imaging may serve as a non-invasive tool for diagnosing CMD and enhancing conventional cardiovascular risk assessment.
MICROVASCULAR RESEARCH
(2023)
Article
Medicine, Research & Experimental
Zhihua Yang, Yangxi Liu, Zhenzhen Li, Shaoling Feng, Shanshan Lin, Zhao Ge, Yujian Fan, Yi Wang, Xianliang Wang, Jingyuan Mao
Summary: Coronary microvascular dysfunction (CMD) is a high-risk factor for various cardiovascular events and is closely related to the occurrence and development of cardiovascular diseases. However, the pathophysiological mechanism of CMD is still limited, which hinders its clinical diagnosis and treatment. Promising strategies for the treatment of cardiovascular diseases include improving coronary microvascular remodelling and increasing myocardial perfusion.
BIOMEDICINE & PHARMACOTHERAPY
(2023)
Review
Biochemistry & Molecular Biology
Marios Sagris, Panagiotis Theofilis, Alexios S. Antonopoulos, Evangelos Oikonomou, Christina Paschaliori, Nikolaos Galiatsatos, Kostas Tsioufis, Dimitris Tousoulis
Summary: Chronic low-grade inflammation plays a role in coronary atherosclerosis, leading to a range of clinical manifestations. Microvascular dysfunction in the coronary arteries can reduce oxygen supply to the myocardium. Anti-inflammatory agents may offer new treatment approaches for reducing cardiovascular events.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)
Article
Medicine, General & Internal
Ana Cristina Fernandez Risquez, Antonio Carballo Garcia, Jesus Joaquin Hijona Elosegui, Nicolas Mendoza Ladron de Guevara, Jesus Carlos Presa Lorite
Summary: This study explored the sexual experiences of postmenopausal patients with pelvic organ prolapse (POP) in our setting. The results indicated a high rate of sexual dysfunction among postmenopausal patients with POP, suggesting an association between POP and female sexual dysfunction.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Endocrinology & Metabolism
Cailin Feng, Fuad A. Abdu, Abdul-Quddus Mohammed, Wen Zhang, Lu Liu, Guoqing Yin, Yundi Feng, Ayman A. Mohammed, Redhwan M. Mareai, Xian Lv, Tingting Shi, Yawei Xu, Xuejing Yu, Wenliang Che
Summary: This study found that coronary microvascular dysfunction is common in overweight patients with chronic coronary syndrome, and it is an independent predictor of major adverse cardiac events.
FRONTIERS IN ENDOCRINOLOGY
(2022)