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Microcirculatory Dysfunction

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Physiological Assessment of Coronary Stenoses and the Microcirculation

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Abstract

Although microcirculatory dysfunction is linked to multiple cardiac and non-cardiac conditions, a conclusive diagnosis of microcirculatory dysfunction is rarely made in everyday clinical practice. As discussed below, assessment of the microcirculation may contribute to understanding the role of small vessel disease in the manifestations of chronic conditions, the direct impact of acute cardiac events on the microvasculature [1], or even to detect early anomalies in the coronary circulation occurring before the development of pathological changes in the large epicardial vessels [2].

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Authors and Affiliations

  1. VU University Medical Center, the department of cardiology, Boelelaan 1117, 1081HV, Amsterdam, the Netherlands

    Nina W. van der Hoeven, Maurits R. Hollander & Niels van Royen

  2. Hospital Clínico San Carlos, Profesor Martin Lagos, 28040, Madrid, Spain

    Hernán Mejía-Rentería & Javier Escaned

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  1. Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, Spain

    Javier Escaned

  2. Imperial College London, London, United Kingdom

    Justin Davies

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van der Hoeven, N.W., Mejía-Rentería, H., Hollander, M.R., van Royen, N., Escaned, J. (2017). Microcirculatory Dysfunction. In: Escaned, J., Davies, J. (eds) Physiological Assessment of Coronary Stenoses and the Microcirculation. Springer, London. https://doi.org/10.1007/978-1-4471-5245-3_3

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