Patients with angina and unobstructed coronary arteries (ANOCA) are frequently encountered in clinical practice. These cases represent a diagnostic and therapeutic challenge and are often characterized by a long patient journey until a diagnosis of coronary vasomotor disorders is established. Moreover, the unsatisfactory management of such patients leads to insecurity, ongoing symptoms, and psychological sequelae such as anxiety or depression. Currently, the psychological burden in patients with ANOCA is underestimated, underexplored, and undertreated. This review gives a new perspective on the pathophysiology of coronary vasomotor disorders including psychological risk factors and calls for comprehensive care by interdisciplinary ANOCA clinics.
Keyphrases
- coronary artery disease
- coronary artery
- sleep quality
- risk factors
- percutaneous coronary intervention
- clinical practice
- ejection fraction
- end stage renal disease
- aortic stenosis
- healthcare
- newly diagnosed
- depressive symptoms
- primary care
- palliative care
- prognostic factors
- peritoneal dialysis
- chronic pain
- quality improvement
- transcatheter aortic valve replacement