Position paper ANMCO: Importanza dell’aterosclerosi coronarica non ostruttiva ai fini prognostici e terapeutici

Translated title of the contribution: ANMCO Position paper: Prognostic and therapeutic relevance of non-obstructive coronary atherosclerosis

Giancarlo Casolo, Domenico Gabrielli, Furio Colivicchi, Adriano Murrone, Daniele Grosseto, Michele Massimo Gulizia, Stefania Angela Di Fusco, Stefano Domenicucci, Fortunato Scotto di Uccio, Giuseppe Di Tano, Francesco Orso, Gabriele Grippo, Maurizio Abrignani, Serafina Valente, Marco Corda

Research output: Contribution to journalArticlepeer-review

Abstract

Atherosclerosis often affects the coronary arterial tree. Very often the disease does not translate in significant narrowing of the vessels, thus determining only a non-obstructive disease. This condition that is described as non-obstructive coronary artery disease (NobsCAD) should be distinguished from the absence of disease (i.e. smooth coronary arteries) as it carries a specific prognostic value. The detection and reporting of NobsCAD should prompt preventive measures that can be individualized upon the degree of the underlying burden of disease. The accompanying clinical condition, the other cardiovascular risk factors present, and the description of the severity and extent of NobsCAD should provide the framework for an individualized treatment that should also consider the best available evidences and scientific guidelines. The description of NobsCAD represents an important information to be collected whenever a coronary angiogram (both invasive and non-invasive) is performed. Treating the patient according to the presence and extent of NobsCAD offers prognostic benefits well beyond those offered by considering only the traditional cardiovascular risk factors. In order to reach this goal, NobsCAD should not be confused with the absence of coronary atherosclerosis or even ignored when detected as if it was a trivial information.

Translated title of the contributionANMCO Position paper: Prognostic and therapeutic relevance of non-obstructive coronary atherosclerosis
Original languageItalian
Pages (from-to)767-777
Number of pages11
JournalGiornale italiano di cardiologia (2006)
Volume22
Issue number9
DOIs
Publication statusPublished - Sep 1 2021
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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