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Stable Ischemic Heart Disease Beyond Stenoses: Coronary Microvascular Dysfunction

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Manual of Gynecardiology

Abstract

At least half of (predominant) female patients with recurrent angina, without signs of obstructive CAD, have underlying coronary microvascular dysfunction (CMD). Especially when signs of ischemia are present, this syndrome has an adverse prognosis. Patients with CMD have a characteristic symptom presentation, with a variety of traditional and non-traditional risk factors. Diagnostic testing and treatment are still a challenge, with much room for improvement.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands

    Suzette Elias-Smale M.D., Ph.D.

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  1. Suzette Elias-Smale M.D., Ph.D.
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Correspondence to Suzette Elias-Smale M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Cardiology, Women’s Cardiac Health Program, Radboud University Medical Center, Nijmegen, The Netherlands

    Angela H.E.M. Maas

  2. Director Barbra Streisand Women’s Heart Center, Linda Joy Pollin Women’s Heart Health Program, Director Preventive Cardiac Center, Cedars-Sinai, Los Angeles, USA

    C. Noel Bairey Merz

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Elias-Smale, S. (2017). Stable Ischemic Heart Disease Beyond Stenoses: Coronary Microvascular Dysfunction. In: Maas, A., Bairey Merz, C. (eds) Manual of Gynecardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-54960-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-54960-6_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54959-0

  • Online ISBN: 978-3-319-54960-6

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