Figure 2 Different manifestations of myocardial ischaemia

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Presentation transcript:

Figure 2 Different manifestations of myocardial ischaemia Figure 2 | Different manifestations of myocardial ischaemia. Stable angina occurs when myocardial ischaemia is caused by fixed atherosclerotic narrowing of one or more epicardial coronary arteries. In some circumstances, the angina is associated with a coronary spasm and metabolic dysfunction. Vasospastic angina occurs when myocardial ischaemia is caused by a coronary artery spasm with or without endothelial dysfunction. Microvascular angina refers to the absence of an obstructed epicardial coronary artery. Myocardial ischaemia in this case can be caused by microvascular and/or endothelial dysfunction and inflammation. Ferrari, R. et al. (2017) A ‘diamond’ approach to personalized treatment of angina Nat. Rev. Cardiol. doi:10.1038/nrcardio.2017.131