Мicrovascular angina - terapeutic challenge. analisis of medical treatment options and a clinical case

Etiology, diagnostics and treatment of patients with angina like symptoms and angiographically coronary arteries with no changes remain uncertain. Microvascular dysfunction is main cause for the symptoms in these patients. Chest pain is usually severe and longer than in patients with obstructive coronary artery disease and this results in reduced functional capacity and often hospitalizations. Classic scheme of antiischemic treatment is insufficient in patients with microvascular dysfunctions, but metabolic class medicines reduce anginal episodes and their duration. We represent original data from our study and clinical case of a woman with long history of severe stenocardia and verified microvascular angina.