Post-percutaneous coronary intervention angina: From physiopathological mechanisms to individualized treatment
Leonardo De Luca, Giuseppe Rosano, Ilaria Spoletini
Abstract
Chronic ischemic heart disease (IHD) is a multifactorial disease with different underlying pathogenetic mechanisms. Percutaneous coronary intervention (PCI) is widely used in patients with IHD in order to reduce angina recurrence. However, after complete or incomplete revascularization procedures, patients may still present anginal symptoms, with a detrimental impact on quality of life and prognosis. This review summarizes the pathogenic mechanisms and the main challenges encountered in the diagnosis and management of post-PCI angina.
Topics & Concepts
MedicineConventional PCIPercutaneous coronary interventionAnginaCardiologyInternal medicineRevascularizationDiseasePercutaneousMyocardial infarctionCoronary Interventions and DiagnosticsCardiac Imaging and DiagnosticsAcute Myocardial Infarction Research